比较腰麻-硬膜外联合麻醉与全麻在肾移植的效果  

Comparison of combined spinal-epidural anesthesia and general anesthesia in renal transplantation

作　　者：赵艳[1] 蒋建渝[1] 孟秀丽[1] 张耕[1] 王军[1] 郭向阳[1] 

机构地区：[1]北京大学第三医院麻醉科,北京100191

出　　处：《中国临床药理学杂志》2010年第8期602-605,共4页The Chinese Journal of Clinical Pharmacology

摘　　要：目的比较不同麻醉方法和药物在肾移植中的效果。方法回顾性分析本院100例肾移植的临床资料,其中腰麻-硬膜外联合麻醉和全麻各50例,比较2组围术期情况。结果 2组患者一般资料相似;手术时间、失血量、尿量、输液量、术中发生低血压或心动过缓的例数、移植肾再灌注前后血液动力学和内环境的变化无显著差异。结论腰麻-硬膜外联合麻醉和全麻均能安全、有效地用于肾移植。2种麻醉均需加强对血液动力学、内环境和用药的监测与管理。Objective To compare the effects of different anesthetic techniques and drugs for renal transplantation. Methods A retrospective review was conducted on clinical data of 100 cases of renal transplantation, including 50 combined spinalepidural anesthesia （group CSEA） and 50 general anesthesia （group GA）. The perioperative characteristics were compared between the two groups. Results Demographically both groups were similar. No significant differences were detected in the duration of surgery, blood loss, urine output, fluid volume, frequency of hypotension or bradycardia, changes of hemodynamics and internal environment before or after reperfusion between the two groups. Conclusion Both combined spinal - epidural anesthesia and general an- esthesia proved to be safe and effective anesthetic techniques for renal transplantation. Monitoring and management of hemodynamics, internal environment and drugs chosen should be emphasized during renal transplantation no matter which technique is used.

关 键 词：肾移植 麻醉 腰麻-硬膜外联合麻醉 全麻 

分 类 号：R692.5[医药卫生—泌尿科学] R971.2[医药卫生—外科学]