A comparative study of combined spinal-epidural anesthesia and epidural anesthesia in elderly patients with transurethral resection of prostate
-
摘要: 目的 评价腰麻-硬膜外联合麻醉和硬膜外麻醉在经尿道前列腺电切术(TURP)的麻醉效果及安全性.方法 将60例拟行TURP的BPH患者随机分为CSEA组和CEA组.通过监测生命体征,测定镇痛平面、麻醉平面,记录感觉阻滞起效时间、镇痛持续时间,评定运动阻滞效果,记录运动阻滞起效时间、达最大运动阻滞时间、最大阻滞节段、运动阻滞的持续时间,评定麻醉效果.结果 CSEA组麻醉效果明显优于CEA组.CSEA组术后无头痛和神经系统并发症发生.结论 高龄患者TURP中使用CSEA是安全、有效的,与CEA相比,有很大的优越性,应作为高龄患者TURP的首选麻醉方法.
-
关键词:
- 腰麻-硬膜外联合麻醉 /
- 硬膜外麻醉 /
- 经尿道前列腺电切术
-
-
Rowhrborm C G, McConnell J D. Etiology, pathothysiology, cpidemiology and natural history of binign prostatic hyperplasia [A]. Philadelphia, PA:W.B.Saunders Company, 2002.1297. Muslumanoglu A Y, Yuruk E, Binbay M. Transurethral resection of prostate with plasmakinetic energy:100 months results of a prospective randomized trial [J]. British Journal of Urology International, 2011(1):1464. Ronald D.Miller. 米勒麻醉学 [M]. 北京:北京大学医学出版社, 2006.2181. 曹灵敏, 李胜德, 马桂芬. 腰麻-硬膜外联合麻醉在高龄老年患者的应用 [J]. 临床麻醉学杂志, 2004, (12):742.doi: 10.3969/j.issn.1004-5805.2004.12.017. Nasirova R L. Efficacy of spinal-cpidural anesthesia in elderly urologic patients [J]. Urologiia, 2010(1):43. Imbelloni LE, Gouveia MA, Cordeiro JA. Continuous spinal anesthesia versus combined spinal epidural block for major orthopedic surgery:prospective randomized study [J]. Sao Paulo Medical Journal(Revista Paulista de Medicina), 2009(1):7. El-Kerdawy H. Analgesic requirements for patients undergoing lower extremity orthopedic surgery-the effect of combined spinal and epidural magnesium [J]. Middle East Journal of Anesthesiology, 2008(5):1013. 刘文才. 经尿道前列腺等离子双极电切术与常规电切术治疗良性前列腺增生症疗效比较 [J]. 海南医学院学报, 2011, (17):1519.doi: 46-1049/R.20110822.1043.00. 孙月嫦, 程红英, 王忆红. 认知心理护理对前列腺增生症患者术前焦虑抑郁情绪的影响 [J]. 海南医学院学报, 2010, (16):1369. 蔡政, 卢建林, 张勇. 经尿道前列腺电切及经尿道电汽化术治疗良性前列腺增生症临床疗效比较 [J]. 实用临床医药杂志, 2011, (15):43.doi: 10.3969/j.issn.1672-2353.2011.09.013. 奚丽英. 前列腺摘除术后膀胱痉挛的护理体会 [J]. 实用临床医药杂志, 2011, (15):191.doi: 10.3969/j.issn.1672-2353.2011.24.083.
计量
- 文章访问数: 125
- HTML全文浏览量: 24
- PDF下载量: 7