[1]彭汉新,龚楚链,陈潮金,等.不同麻醉方法下输尿管软镜钬激光碎石术治疗肾结石的比较[J].中华腔镜泌尿外科杂志(电子版),2018,12(01):31-34.[doi:10.3877/cma.j.issn.1674-3253.2018.01.009]
　Peng Hanxin,Gong Chulian,Chen Chaojin,et al.Comparison of different methods of anesthesia for flexible ureteroscopy with holmium laser lithotripsy in the treatment of renal calculi[J].,2018,12(01):31-34.[doi:10.3877/cma.j.issn.1674-3253.2018.01.009]
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不同麻醉方法下输尿管软镜钬激光碎石术治疗肾结石的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
12卷
期数:
2018年01期
页码:
31-34
栏目:
出版日期:
2018-01-31

文章信息/Info

Title:
Comparison of different methods of anesthesia for flexible ureteroscopy with holmium laser lithotripsy in the treatment of renal calculi
作者:
彭汉新1; 龚楚链2; 陈潮金2; 张涛3
523071 东莞市南城医院麻醉科1；510630 广州，中山大学附属第三医院麻醉科2；510630 广州，中山大学附属第一医院麻醉科3
Author(s):
Peng Hanxin1;  Gong Chulian2;  Chen Chaojin2;  Zhang Tao3.
1Department of Anesthesiology, Dongguan City Nancheng Hospital, Dongguan 523071, China; 2Department of Anesthesiology, the Third Affiliated Hospital, Sun Yat-sen Univerisity, Guangzhou 510630, China; 3Department of Anesthesiology, the First Affiliated Hospital, Sun Yat-sen Univerisity, Guangzhou 510080, China
关键词:
肾结石;  麻醉;  输尿管软镜;  钬激光
DOI:
10.3877/cma.j.issn.1674-3253.2018.01.009
摘要:
目的 观察对比腰麻联合硬膜外麻醉（CSEA）和气管插管全麻（GA）用于输尿管软镜肾结石钬激光碎石术的安全性和有效性。方法 2015 年12 月至2016 年5 月东莞市南城医院肾结石患者80 例，随机分为两组，分别采用CSEA 和GA，均行输尿管软镜下钬激光碎石术治疗肾结石。比较两组患者术中血压、心率变化，补液情况和升压药使用情况以及手术时间、手术操作难易程度和术中患者不适程度。结果麻醉后及术中，CSEA 组有明显血压下降和心率增加（P<0.05），需要加快补液及使用升压药；GA 组无明显变化，患者无明显体动，呼吸控制良好，易于碎石手术操作，患者无不适反应率低于CSEA 组（P<0.05）。结论 在输尿管软镜下钬激光碎石术治疗肾结石中，相对于CSEA，GA 是一种更舒适和安全，更有利于手术操作的麻醉方法。

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备注/Memo

备注/Memo:
通讯作者：张涛，Email: 11139398@qq.com
更新日期/Last Update: 2018-02-25