摘要
目的:探讨老年前列腺增生患者手术治疗采用不同麻醉方式下的临床实效性。方法:回顾统计某院2016年12月~2017年12月期间收治前列腺增生老年患者58例,该58例老年患者为定量随机抽样选取。依照患者手术麻醉方式的差异,分为对照组和观察组。对照组30例患者手术采取硬膜外麻醉的操作方法,观察组28例患者行腰-硬联合麻醉的方式,手术后统计评估两组患者的麻醉效果以及并发症的控制情况。结果:麻醉效果比较上,观察组显著优于对照组(P<0.01);血氧饱和度比较上,两组患者无差异(P>0.05);在术后认知功能障碍比较方面,术后6h和术后12h,观察组患者认知功能障碍控制显著优于对照组(P<0.01)。结论:腰-硬联合麻醉用于老年前列腺增生患者电切术治疗中,临床效果显著,可作为一种理想麻醉方法推广。
Objective:To investigate the clinical efficacy of different anesthesia methods in the surgical treatment of elderly patients with benign prostatic hyperplasia.Methods:A retrospective analysis was made on 58 elderly patients with benign prostatic hyperplasia admitted to a hospital from December 2016 to December 2017.The 58 elderly patients were selected by quantitative random sampling.The patients were divided into control group and observation group according to the difference of anesthesia methods.30 patients in the control group were operated with epidural anesthesia,while 28 patients in the observation group were operated with combined spinal-epidural anesthesia.After surgery,the anesthetic effect and the control of complications in the 2 groups were evaluated statistically.Results:Compared with the control group,the anesthetic effect of the observation group was significantly better than that of the control group(P<0.01).There was no difference in blood oxygen saturation between the two groups(P>0.05).In the comparison of cognitive dysfunction after operation,the control of cognitive dysfunction in the observation group was significantly better than that in the control group(P<0.01)at 6 hours and 12 hours after operation.Conclusion:The application of combined lumbar and epidural anesthesia in the treatment of elderly patients with prostatic hyperplasia by electrotomy has obvious clinical effects and can be promoted as an ideal anesthesia method.
作者
范水成
Fan Shuicheng(Department of Anesthesiology,Huixian People's Hospital,Huixian 453600)
出处
《数理医药学杂志》
2019年第12期1770-1771,共2页
Journal of Mathematical Medicine
关键词
硬膜外麻醉
前列腺增生
认知功能
epidural anesthesia
benign prostatic hyperplasia
cognitive function
