摘要
目的考察腰麻-硬膜外联合麻醉在经尿道前列腺切除术中应用的安全性和有效性。方法80例ASA分级Ⅰ～Ⅲ级、年龄(67.5±6.4)岁的拟行TURP的患者,术前禁食时间均为6h;随机分成硬膜外麻醉组(对照E组)和腰麻-硬膜外联合麻醉组(C组);记录BP,HR,ECG,SpO2、手术时间、利多卡因用量、镇痛药物用量、麻黄碱用量和麻醉效果。结果二者在BP、HR、ECG、SpO2、手术时间、麻黄碱用量方面无统计学差异,利多卡因用量和麻醉效果有统计学差异。结论腰麻-硬膜外联合麻醉在TURP手术可以安全有效的应用。
Objective To evaluate the efficacy and the safety of combined spinal and epidural anesthesia（CSEA） in transurethral resection of prostate （TURP）. Methods 80 cases with ASA Ⅰ- Ⅲ undergoing TURP were randomly divided into two groups, 40 cases in each group. The cases in control group （group C） received CSEA and which in experimental group （group E） received epidural anesthesia. BP, HR, ECG, SpO2 were recorded during operation, and dose of lidoeaine, analgesia drugs, ephedrine and therapeutic effect were recorded as well. Results Compared between group C and group E, there had no significant difference in BP, HR, ECG, SpO2 and ephedrine, but onset time and time to arrive at thoracic 10 pain- free were significantly faster in group G compared with those in group E, the therapeutic effect in group C was better than that in group E. Conclusion CSEA techniques may be used to provide effective and rapid onset of analgesia for TURP.
出处
《中国煤炭工业医学杂志》
2009年第11期1674-1675,共2页
Chinese Journal of Coal Industry Medicine
关键词
腰麻-硬膜外联合麻醉
硬膜外麻醉
经尿道前列腺切除术
combined spinal and epidural anesthesia（CSEA）
epidural anesthesia
transurethral resection of prostate （TURP）
