[1]叶柏波,沈宁,高婉菱.腰硬联合阻滞和全身麻醉用于经皮肾镜取石术的比较[J].中华腔镜泌尿外科杂志(电子版),2011,(05):404-407.
　YE Bai-bo,SHEN Ning,GAO Wan-ling.Comparision study of combined spinal-epidural anesthesia versus general anesthesia in percutaneons nephrolithotomy procedures[J].,2011,(05):404-407.
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腰硬联合阻滞和全身麻醉用于经皮肾镜取石术的比较()
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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:
2011年05期
页码:
404-407
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparision study of combined spinal-epidural anesthesia versus general anesthesia in percutaneons nephrolithotomy procedures
作者:
叶柏波; 沈宁; 高婉菱
中山大学附属第三医院麻醉科,广州,510630
Author(s):
YE Bai-bo; SHEN Ning; GAO Wan-ling
关键词:
经皮肾镜取石术; 腰硬联合阻滞; 全身麻醉
摘要:
目的 观察腰硬联合麻醉(CSEA)和全身麻醉(GA)下经皮肾镜碎石术(PCND的有效性和安全性.方法 90例患者随机分为CSEA组(n=45)和GA组(n=45).术中监测血压、心率、呼吸、血氧饱和度变化及不良反应.结果 两组患者在年龄、体重、性别、ASA分级和手术时间方面无差异.两组均无大的手术或麻醉并发症.全麻组发生低血压17例,腰硬联合组发生低血压5例(P<0.05).腰硬联合组在手术开始60 min后,有15例患者需要丙泊酚镇静.术后2 h腰硬联合组有1例患者需要静脉给予止痛药,全麻组有34例患者需要静脉给予止痛药止痛(在PACU中)(P<0.01).术后24 h全麻组有42例患者满意,腰硬联合组有41例患者满意P>.05).结论 腰硬联合麻醉复合镇静用于PCNL手术具有患者满意度高,麻醉并发症低,术后镇痛效果好的优点,是PCNL手术麻醉方法的一种选择.

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更新日期/Last Update: 1900-01-01