[1]胡笑明,米其武,黄德辉,等.两种麻醉方法在膀胱侧壁肿瘤电切术中的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(02):124-127.[doi:10.3877/cma.j.issn.1674-3253.2015.02.012 ]
　Hu Xiaoming,Mi Qiwu,Huang Dehui,et al.Comparison of two different anesthesia methods in transurethral resection of bladder tumor[J].,2015,(02):124-127.[doi:10.3877/cma.j.issn.1674-3253.2015.02.012 ]
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两种麻醉方法在膀胱侧壁肿瘤电切术中的比较()
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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:
期数:
2015年02期
页码:
124-127
栏目:
临床研究
出版日期:
2015-08-31

文章信息/Info

Title:
Comparison of two different anesthesia methods in transurethral resection of bladder tumor
作者:
胡笑明1; 米其武2; 黄德辉1; 郭庆聪1; 刘衬云1
523000 广东，东莞市人民医院麻醉科1，泌尿外科2
Author(s):
Hu Xiaoming;  Mi Qiwu;  Huang Dehui;  Guo Qincong;  Liu Chenyun.
Department of Urology, Dongguan City People's Hospital, Guangdong 523000, China
关键词:
浅表性膀胱肿瘤; 经尿道膀胱肿瘤电切术; 腰硬联合麻醉; 全身麻醉; 闭孔反射
DOI:
10.3877/cma.j.issn.1674-3253.2015.02.012
摘要:
目的比较在腰硬联合麻醉（ CSEA）或全身麻醉（ GA）下 TURBt手术治疗浅表性膀胱侧壁肿瘤的有效性和安全性。方法 2012年 1月至 2014年 6月，东莞市人民医院术前诊断为浅表性膀胱侧壁肿瘤患者 60例，密闭信封法分为 CSEA、GA两组。记录两组患者年龄、性别、ASA分级、病史和肿瘤大小、数目等临床资料，观察比较两组患者术中闭孔反射发生率、膀胱穿孔率、手术时间、出血量、住院费用，以及血压、心率、血氧饱和度变化情况。结果 60例浅表性膀胱侧壁肿瘤患者纳入本研究， CSEA组和 GA组分别 30例，两组患者一般临床资料无统计学差异，术中两组患者生命体征均维持在正常范围内， CSEA组 8例(26.7%)术中发生闭孔反射，其中 1例出现膀胱穿孔，GA组无闭孔反射和膀胱穿孔病例，但 GA组住院费用较 CSEA组费用高（ P<0.05）。结论 GA或 CSEA均可用于 TURBt治疗浅表性膀胱侧壁肿瘤，CSEA组患者住院费用低廉，但 GA组患者术中安全性更好。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：胡笑明，Email：792647157@qq.com
更新日期/Last Update: 1900-01-01