后腹腔镜下单侧肾上腺嗜铬细胞瘤摘除术后拔管时间延长

发布时间：2018-04-14 10:22

本文选题：嗜铬细胞瘤摘除术 + 后腹腔镜下　；参考：《临床麻醉学杂志》2017年12期

【摘要】：目的比较后腹腔镜下单侧肾上腺嗜铬细胞瘤或其他类型肾上腺肿瘤摘除术后患者的气管导管拔除时间改变。方法回顾性分析我院2014年11月至2017年4月全身麻醉下行后腹腔镜下单侧肾上腺嗜铬细胞瘤摘除术的19例高血压患者的电子麻醉记录单(S组),并选取同期于全身麻醉下行后腹腔镜下单侧肾上腺其他类型肿瘤摘除术的38例高血压患者为对照组(D组)。比较两组患者性别、ASA分级、年龄、身高、体重、手术时长、麻醉时间、术中镇静、镇痛及肌松药用量、拔管时间及PACU滞留时间。结果两组性别、ASA分级、年龄、身高、体重、手术时间及麻醉时间差异无统计学意义。术中镇静、镇痛及肌松药用量差异无统计学意义。S组拔管时间明显长于D组[30.0(25.0~42.5)min vs 20.0(15.0~20.0)min,P0.05]。S组PACU滞留时间亦明显长于D组[70.0(57.5~82.5)min vs 45.0(33.5~55.0)min,P0.05]。结论全身麻醉下行后腹腔镜下单侧肾上腺嗜铬细胞瘤摘除术的患者与同等条件下行肾上腺其他类型肿瘤摘除术的患者比较,术后拔管时间与PACU滞留时间明显延长,可能与术中麻醉药物用量无关。
[Abstract]:Objective to compare the extubation time of tracheal catheter in patients with unilateral adrenal pheochromocytoma or other types of adrenal tumors after laparoscopic excision.Methods from November 2014 to April 2017, 19 patients with hypertension underwent laparoscopic excision of unilateral adrenal pheochromocytoma under general anesthesia in our hospital. Electronic anaesthesia records of group S were retrospectively analyzed.38 patients with hypertension underwent laparoscopic excision of other types of adrenal tumors were treated as control group.The age, age, height, weight, duration of operation, anesthetic time, dosage of sedation, analgesia and muscle relaxant, extubation time and PACU retention time were compared between the two groups.Results there was no significant difference in ASA grade, age, height, weight, operation time and anesthetic time between the two groups.There was no significant difference in sedation, analgesia and muscle relaxant dosage during operation. The extubation time of group S was significantly longer than that of group D [30.0(25.0~42.5)min vs 20.0 15.0 ~ 20.0 min (P0.05)]. The retention time of PACU in group S was significantly longer than that in group D [70.0(57.5~82.5)min vs 45.033.55.0min (P0.05)].Conclusion the extubation time and PACU retention time of patients with unilateral adrenal pheochromocytoma under general anesthesia and other types of adrenal tumor resection under the same conditions were significantly longer than that of patients undergoing laparoscopic excision of adrenal pheochromocytoma under general anesthesia.It may not be related to the dosage of anesthetic during operation.
【作者单位】：南京医科大学第一附属医院麻醉科;南京医科大学第一附属医院感控科;
【分类号】：R614;R736.6

【相似文献】