摘要
目的:探讨硬膜外麻醉与腰硬联合麻醉在老年前列腺增生患者经尿道前列腺电切术的麻醉效果和安全性。方法:2014年1月-2015年12月在我院行经尿道前列腺电切术治疗的老年前列腺增生患者80例患者的临床资料,其中采取硬膜外麻醉的40例患者作为观察组,采用腰硬联合麻醉的40例作为对照组,观察两组患者的阻滞平面、阻滞完善时间、麻醉起效时间、疼痛评分以及不良反应发生的情况。结果:两组患者阻滞平面比较无显著性差异(P>0.05);观察组患者阻滞完善时间、麻醉起效时间均较对照组明显缩短(P<0.05);两组患者术后4、8、12、24及48 h的疼痛评分差异无统计学意义(P>0.05)。观察组血压下降、心动过缓、恶心呕吐、头痛等不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:对老年经尿道前列腺电切术患者实施腰硬联合麻醉,能够取得良好的术后镇痛效果,且不良反应较少,临床安全性较高,可行性良好。
Objective:To investigate the effects and safety of epidural anesthesia(EA)and combined spinalepidural anesthesia(CSEA)for transurethral electrotomy of the prostate(TUEP)in elderly patients with benign prostatic hyperplasia(BPH).Methods:The clinical data of 80 BPH patients who were admitted Anxi County hospital from January 2014 to December 2015 were retrospectively analyzed.According to the anesthesia methods,they were divided into observation group(receiving CSEA)and control group(receiving EA),with 40 cases in each group.The patients in both two groups underwent TURP treatment after anesthesia.Then the block levels,complete block time,the onset time of anesthesia,pain scores and side-effects were observed in the two groups.Results:There were no statistically significant differences in block level between the two groups(P>0.05).The complete block time,the onset time of anesthesia were shorter in the observation group than in the control group(P<0.05).There were no significant differences in pain scores between the two groups 4,8,12,24 and 48 hours after operation(P>0.05).The incidence of side-effects such as hypotension,bradycardia,nausea and vomiting,headache etc.was lower in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusions:The application of CSEA for TUEP in elderly patients with BPH can achieve better postoperative analgesic effect,with less side-effects,better safety,and good feasibility.
作者
李大生
谢志原
刘庆丰
Li Dasheng;Xie Zhiyuan;Liu Qingfeng(Anxi Hospital,Quanzhou,Fujian 362400,China)
出处
《感染．炎症．修复》
2018年第1期27-30,共4页
Infection Inflammation Repair
关键词
硬膜外麻醉
腰硬联合麻醉
老年
前列腺增生
前列腺电切术
麻醉效果
安全性
Epidural anesthesia
Combined spinal-epidural anesthesia
Elderly
Benign prostatic hyperplasia
Transurethral electrotomy,prostate
Anesthesia effect
Safety
