蛛网膜下腔阻滞麻醉在老年患者腔内泌尿外科微创手术中的应用

发布时间：2018-09-12 17:04

【摘要】：目的:探讨蛛网膜下腔阻滞麻醉在老年患者腔内泌尿外科微创手术中的应用效果。方法:198例老年腔内泌尿外科微创手术患者按照随机数字表法分为观察组(100例)和对照组(98例)。观察组患者采用蛛网膜下腔阻滞麻醉;对照组患者采用硬膜外麻醉。比较两组患者的麻醉起效时间、麻醉用药量、手术时间、阻滞完全时间、麻醉效果满意度及不良反应发生情况。结果:观察组患者的麻醉起效时间为(1.5±0.6)min、阻滞完全时间为(7.9±3.9)min,均明显短于对照组[分别为(4.5±1.2)、(17.5±4.3)min],差异均有统计学意义(P0.05);观察组患者的麻醉用药量为(20.2±4.8)mg,明显低于对照组的(103.4±20.1)mg,差异有统计学意义(P0.05);观察组患者对麻醉效果的满意率为95.0%,明显高于对照组(69.4%),差异有统计学意义(P0.05)。观察组患者手术时间和不良反应发生率与对照组比较,差异无统计学意义(P0.05)。结论:蛛网膜下腔阻滞麻醉的用药量少、起效快、麻醉效果显著,适用于老年患者腔内泌尿外科微创手术。
[Abstract]:Objective: to investigate the effect of subarachnoid block anesthesia in the minimally invasive operation of endourinary surgery in elderly patients. Methods one hundred and eighty-eight elderly patients undergoing minimally invasive surgery in endourinary surgery were randomly divided into two groups: observation group (n = 100) and control group (n = 98). The patients in the observation group were anesthetized by subarachnoid block and the patients in the control group by epidural anesthesia. Anaesthesia onset time, anesthetic dosage, operation time, complete block time, anesthetic satisfaction and adverse reaction were compared between the two groups. Results: the onset time of anesthesia in the observation group was (1.5 卤0.6) min, block complete time was (7.9 卤3.9) min, significantly shorter than that in the control group [(4.5 卤1.2), (17.5 卤4.3) min, respectively], the difference was statistically significant (P0.05), the amount of anesthetic drug used in the observation group was (20.2 卤4.8) mg, significantly lower than that in the control group (103.4 卤20.1) mg,. The difference was statistically significant (P0.05); the satisfaction rate of the patients in the observation group was 95.0, significantly higher than that in the control group (69.4%), the difference was statistically significant (P0.05). The time of operation and the incidence of adverse reactions in the observation group were not significantly different from those in the control group (P0.05). Conclusion: subarachnoid block anesthesia has the advantages of low dosage, quick effect and remarkable anaesthesia effect. It is suitable for the minimally invasive operation of endovascular urology in elderly patients.
【作者单位】： 南阳市中心医院泌尿外科;
【分类号】：R614

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