不同麻醉方法行经皮肾镜钬激光碎石术的临床观察 |
| |
引用本文: | 王立文,梁华,贺雅琳,马彩军,袁利邦,刘晓华,丁志刚,杨焕杰,杨少春,郭永军. 不同麻醉方法行经皮肾镜钬激光碎石术的临床观察[J]. 西北国防医学杂志, 2009, 30(4): 262-264 |
| |
作者姓名: | 王立文 梁华 贺雅琳 马彩军 袁利邦 刘晓华 丁志刚 杨焕杰 杨少春 郭永军 |
| |
作者单位: | 解放军第五医院麻醉科,宁夏,银川,750004 |
| |
摘 要: | 目的:观察腰-硬联合麻醉(CSEA)和全凭静脉麻醉(TIVA)下经皮肾镜钬激光碎石术的有效性和安全性。方法:285例患者随机分为CSEA组(n=120)和TIVA组(n=165)。术中监测血压(BP)、心率(HR)、呼吸(R)、血氧饱和度(SpO2)变化及不良反应。结果:CSEA组感觉平面出现为1~3min,阻滞范围T5-10~S5,麻醉后30min血压下降(P〈0.05)。TIVA组术中心率减慢(P〈0.05),麻醉平稳,苏醒期无明显的躁动。结论:CSEA和TIVA均可用于经皮肾镜钬激光碎石手术,对于年龄较大、体形过于肥胖或预计手术时间较长者,以选择TIVA为好。
|
关 键 词: | 麻醉学 腰麻-硬膜外联合麻醉 全凭静脉麻醉 碎石术 钬激光 肾镜 |
Comparison of efficacy and safety of different anesthesia for percutaneous holmium laser lithotripsy under nephroscope |
| |
Affiliation: | WANG Li - wen, LIANG Hua, HE Ya - lin, et al. ( Department of Anesthesiology, 5 Hospital of PLA, Yinchuan 750004, China) |
| |
Abstract: | Objective:To observe the efficacy and safety of combined spinal epidural anesthesia (CSEA) and total intravenous anaesthesia(TIVA)for percutanous holmium laser lithotripsy under nephroscope. Methods: 285 patients were divided randomly into two groups: CSEA group (n = 120) and TIVA group (n = 165). The blood pressure (BP), heart rate (HR), respiration (R), pulse oxygen saturation (SpO2) and adverse effect were monitored and recorded during the procedure. Results : In CSEA group, the onset time of spinal anesthesia was at l to 3 min after CSEA, the block level was maintained at T5-10 - S5, and the BP was decreased 30 min after Spinal block (P 〈 0.05 ). In TIVA group, the HR was decreased significantly during the operation (P 〈 0.05), but the anesthesia was quick and steady, without side effect of restlessness. Conclusion: Both CSEA and TIVA can be used for the percutanous holmium laser lithotripsy under nephroscope. However, TIVA is a reliable and effective anaesthesia method, with greater safety and more comfort than CSEA for obesity or elderly patients and longer - time operation. |
| |
Keywords: | Anesthesiology Combined spinal epidural anesthesia Total intravenous anaesthesia Lithotripsy Holmium laser Nephroseope |
本文献已被 维普 万方数据 等数据库收录! |
|