摘要
目的:观察腰硬联合麻醉在前列腺电切术患者中的临床应用效果。方法:76例经尿道前列腺电切术患者(78±7岁)随机均分为腰硬联合麻醉组(C组)及硬膜外组(E组)。C组以腰硬联合穿刺针于L3-4穿刺至蛛网膜下腔后,注入0.5%布比卡因2mL,通过硬膜外穿刺针置入硬膜外导管;E组行L3-4间隙硬膜外穿刺置管。记录麻醉起效时间、麻醉效果、麻醉前及麻醉后5、15、30分钟时血压、心率。结果:所有患者均穿刺顺利,麻醉起效时间C组为3.6±1.3min,E组6.8±1.5min;C组麻醉效果完善率为100%,E组为95%;麻醉后两组血压均下降(P<0.05),但降幅均未超过基础值的20%;两组麻醉前及麻醉后血压、心率均无显著性差异。结论:腰硬联合麻醉用于前列腺电切术具有起效快、麻醉效果佳的优点。
Objective：To investigate and compare the clinical efficacy and safety of combined spinal-epidural（CSEA） and epidural（EA） anesthesia on elderly patients undergoing transurethral resection of the prostate（TURP）.Methods：76 patients（78±7 years） suffering TURP were divided into two group：group CSEA（38cases） and groupEA（38 cases）.The dose of bupivacaine in spinal anesthesia is 10 mg.Blood pressure（BP）,heart rate（HR） and anesthesia efficacy were observed before anesthesia,5,15 and 30min after anesthesia.Results：BP decreased after anesthesia in two groups than before anesthesia（P〈0.05）.The decreases of BP were less than 20% of basises.There were no significant differents of BP and HR between two groups before and after anesthesia.Conclusion：CSEA with bupivacaine 10 mg is safe and efficient in elderly undergoing TURP.
出处
《华西医学》
CAS
2009年第10期2549-2550,共2页
West China Medical Journal
关键词
腰硬联合麻醉
前列腺电切
血压
combined spinal-epidural anesthesia
transurethral resection of prostate
blood pressure
