输尿管镜下气压弹道碎石术麻醉方法的探讨  

Investigation into Anesthetic Approach during Ureter Renal Scopy Lithotripsy

作　　者：肖义荣[1] 于向鸿[2] 陈锦华[2] 

机构地区：[1]解放军第92医院,福建南平353000 [2]解放军南京军区福州总医院,福建福州350000

出　　处：《临床军医杂志》2006年第6期686-687,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨输尿管镜下气压弹道碎石术有效、安全的麻醉方法。方法100例ASAⅠ～Ⅱ级患者分为A，B两组，每组50例。A组采用腰-硬联合麻醉，B纽采用单纯硬膜外麻醉。结果麻醉效果A组：优42例，良6例，优良率96％；B组：优34例，良10例，优良率88％。两组优良率比较差异显著（P〈0．05）。A组使用哌氟合剂（1．15±0．15）ml，B组（1．80±0．2）ml，两组相比差异显著（P〈0．05）。结论腰-硬联合麻醉，效果确切，根据手术需要容易调节阻滞平面，对输尿管镜下气压弹道碎石术，不失为是一种较好的麻醉方法。Objective To investigate into an effective and safe approach applied to ureter renal scopy lithotripsy （ URSL）, i. e. transureteroscopic pneumatic lithotripsy. Methods A total of 100 patients with ureter stone （ level Ⅰ or Ⅱ, ASA） were divided into Group A and Group B （50 subjects/group）. Group A was administered with combined spinal-epidural anesthesia （CSEA）, and Group B with single epidural anesthesia. Results The anesthetic outcome was listed as following. Group A： excellent in 42 and good in 6 （96%） ; Group B： excellent in 34 and good in 10 （88%）. There was a significant difference in the excellent and good rate between the two groups （ P 〈 0.05）. Conclusion CSEA, whose block level can be easily adjusted according to operative requirement, is a better anesthetic approach to URSL.

关 键 词：气压弹道碎石术 腰-硬联合麻醉 硬膜外麻醉 

分 类 号：R693.4[医药卫生—泌尿科学]