腰硬联合麻醉在高龄经尿道前列腺电切术中的应用

目的观察蛛网膜下腔麻醉联合连续硬脊膜外阻滞麻醉即腰-硬联合麻醉(CSEA)用于高龄患者经尿道前列腺等离子电切术(TUPKRP)的安全性和临床效果。方法择期行前列腺电切术老年患者50例,随机分为硬膜外麻醉(EA)组和腰-硬联合麻醉(CSEA)组,每组各25例。记录麻醉前、后生命体征变化、感觉阻滞起效时间、阻滞完善时间、麻醉平面、术中镇痛情况等。结果两组患者在麻醉后血压均呈明显下降(P>0.05),组间比较差异无统计学意义(P>0.05)。CSEA组感觉阻滞起效时间和阻滞完善时间明显快于EA组(P<0.05),镇痛效果也明显优于EA组(P<0.05)。结论腰硬联合麻醉应用于高龄患者经尿道前列腺等离子电切术安全可靠,效果确切,值得基层医院推广应用。

Application of combined spinal and epidural anesthesia in elderly transurethral resection

Objective To observe the the safety and clinical effects of continuous spinal anesthesia combined with lumbar epidural anesthesia that is waist-epidural anesthesia(CSEA) for elderly patients with transurethral resection of the prostate by plasma kinetic energy(TUPKRP).Methods Elective resection of the prostate in elderly patients,50 cases were randomly divided into epidural anesthesia(EA) group and waist-epidural anesthesia(CSEA) group,each 25 cases.Recorded before and after anesthesia,vital signs situation,the onset time of sensory block,complete block of time,anesthesia,intraoperative pain and so on.Results Two groups of patients after anesthesia SBP,DBP showed a significant decrease(P>0.05),the difference between groups was not significant.CSEA group of sensory block onset time and complete block time were significantly faster than those the EA group(P<0.05),the analgesic effect was significantly better than that of the EA group(P<0.05).Conclusions The combined spinal-epidural anesthesia for elderly has transurethral resection safe and reliable,the exact effect,it is worthy of primary hospital application.