摘要
目的对比不同麻醉方法在经皮肾镜钬激光碎石手术的应用效果。方法选取2015年4月~2016年4月在我院接受经皮肾镜钬激光碎石手术的患者82例为观察对象。根据麻醉方法分为观察组及对照组各41例。其中对照组患者给予全身麻醉,观察组患者给予全麻复合腰硬联合麻醉。分别比较两组麻醉效果,患者在截石位、术中1h以术毕后的MAP、SpO_2、HR水平,Ramsay镇静评分,VAS评分。结果两组麻醉效果对比均无统计学差异;不同时间段两组患者的MAP、SpO_2、HR水平对比均无统计学差异。不同时间段两组Ramsay镇静评分对比不明显。观察组在截石位、术中1h、术毕时的VAS评分与对照组比较,差异无统计学意义(P>0.05)。结论对经皮肾镜钬激光碎石手术患者行全麻复合腰硬联合麻醉与全身麻醉均可取得较好的效果,能维持患者血流动力学稳定。
Objective To compare the application effect of different anesthesia methods in percutaneous nephrolithotomy with holmium laser lithotripsy. Methods 82 cases of patients cured by percutaneous nephrolithotomy with holmium laser lithotripsy in our hospital from Apirl 2015 to Apirl 2016 were selected as the observation objects. According to anesthesia methods, they were divided into observation group and control group with 41 cases in each. Patients in control group were treated with general anesthesia, and patients in observation group were treated with combined spinal epidural anesthesia. Anesthesia effects, including the patients in the lithotomy position, intraoperative lh after surgery, MAP, SpO2, HR level, Ramsay sedation score, VAS score of the two groups were respectively compared. Results There was no significant difference between the two groups. There was no significant difference in MAP, SpO2 and HR levels between the two groups at different time. There was no significant difference in Ramsay sedation score between two groups at different time. There was no significant difference in the VAS scores of the observation group in the lithotomy position, in the 1H, and at the end of the operation（P 〉 0.05）. Conclusion For patients with percutaneous nephrolithotomy with holmium laser lithotripsy, general anesthesia combined with epidural anesthesia and general anesthesia can achieve better results. They can maintain hemodynamic stability.
出处
《中国医药科学》
2017年第3期119-121,161,共4页
China Medicine And Pharmacy
关键词
经皮肾镜钬激光碎石术
麻醉
血流动力学
Percutaneous nephrolithotomy holmium laser lithotripsy
Anaesthesia
Hemodynamics
