监测下麻醉经尿道膀胱肿瘤电切术  

Compaison of monitored anesthesia care and spinal anesthesia during transurethral resection of the bladder tumors

作　　者：杜江平[1] 李艳[2] 史计月[3] 张丽萍[1] 李磊[1] 

机构地区：[1]河北工程大学临床医学院附属医院泌尿外科,河北邯郸056029 [2]河北峰峰集团公司总医院邯郸医院,河北邯郸056000 [3]河北工程大学临床医学院附属医院麻醉科,河北邯郸056029

出　　处：《中国内镜杂志》2007年第9期969-971,974,共4页China Journal of Endoscopy

基　　金：河北省重大医学研究课题(05330)

摘　　要：目的探讨监测下麻醉经尿道膀胱肿瘤电切术的可行性。方法监测下麻醉组选取25例患者,应用力月西、利多卡因、吲哚美辛进行监测下麻醉;对照组选取22例应用蛛网膜下腔阻滞麻醉。对手术时间、费用及术中反应进行分析。术中反应采用数字疼痛分级法。结果监测下麻醉组手术时间为(20.50±9.80)min、费用为(615.26±215.65)元,术中反应4分以上5例,3分以下21例。对照组手术时间为(30.85±15.60)min、费用为(926.65±125.95)元,术中反应4分以上8例,3分以下22例。统计分析手术时间、费用差异有显著性(P<0.05),术中反应差异无显著性(P>0.05)。结论监测下麻醉对适宜的膀胱肿瘤是一种安全有效、节时、经济的麻醉方式。[Objective] To evaluate the effect of monitored anesthesia care （MAC） during transurethrall resection of bladder tumor （TURBT） compared with spinal anesthesia. [Methods] MAC group 40 cases of patient with bladder tumors, lidocaine, indomethacin and midazolam were used during operation. Control group was 50 cases of patient who accepted spinal anesthesia. Time, fee and recreation during operation were recorded. [Results] MAC group was （20.50±9.80） rain, （615.26±215.65） yuan, 5 cases over 4 grade and 21 cases lower 3 grade. Control group was （30.85±15.60） min, （926.65±125.95） yuan, 8 cases over 4 grade and 22 cases lower 3 grade. The difference in both time and fee were significant （P 〈0.05）, but the difference in recreation was not significant （P 〉0.05）. [Conclusion] MAC is safe, effieacious and convenient method for TUR-BT.

关 键 词：蛛网膜下腔阻滞麻醉 表面麻醉 镇静 膀胱肿瘤 经尿道膀胱肿瘤电切术 

分 类 号：R699.5[医药卫生—泌尿科学]