持续硬膜外麻醉与全麻行经皮肾镜取石手术效果比较

目的 研究对经皮肾镜取石术患者实施持续硬膜外麻醉与全身麻醉的临床效果，比较两种方式的安全性。方法 选择2016年4月~12月在本院接受经皮肾镜取石手术治疗的患者60例，将其随机分成观察组和对照组，各30例。观察组患者接受持续硬膜外麻醉，对照组患者接受全身麻醉，比较两组患者麻醉后平均动脉压（MAP）、呼吸频率（RR）、心率（HR）、血氧饱和度（SpO2）、中心静脉压（CVP）等指标，同时观察两组并发症发生情况。结果 观察组中患者的MAP、RR、HR、SpO2及CVP等水平均优于对照组，差异有统计学意义（P＜0.05），观察组并发症发生率低于对照组（13.33% vs 33.33%），差异有统计学意义（P＜0.05）。结论 临床上针对经皮肾镜取石手术患者可以运用持续硬膜外麻醉的形式，其操作简单，安全性高，对患者造成的影响小，术后并发症率低，值得临床推广。

Comparison of Percutaneous Nephrolithotomy between Continuous Epidural Anesthesia and General Anesthesia

Abstract:Objective To study the clinical effects of continuous epidural anesthesia and general anesthesia in patients undergoing percutaneous nephrolithotomy and compare the safety of the two methods.Methods 60 patients undergoing percutaneous nephrolithotomy from April to December 2016 were randomly divided into two groups:the observation group and the control group with 30 cases each.The patients in the observation group received continuous epidural anesthesia,while the patients in the control group received general anesthesia.The mean arterial pressure(MAP),respiratory frequency(RR),heart rate(HR),blood oxygen saturation(SPO2) and central venous pressure(CVP)were compared between the two groups.Complications were observed in both groups.Results The levels of MAP,RR,HR,SpO2 and CVP in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group (13.33%vs33.33%),the difference was statistically significant(P<0.05).Conclusion Continuous epidural anesthesia can be used in patients undergoing percutaneous nephrolithotomy.It is easy to operate,has high safety,has little influence on patients,and has low postoperative complications,so it is worth popularizing.