腰麻-硬膜外联合麻醉与硬膜外麻醉在老年人经尿道前列腺电切术中的对比研究  

A comparative study of combined spinal-epidural anesthesia and epidural anesthesia in elderly patients with transurethral resection of prostate

作　　者：韦建军[1] 吴建军[2] 

机构地区：[1]四川省成都市第六人民医院麻醉科,四川成都610051 [2]四川省成都市第六人民医院泌尿外科,四川成都610051

出　　处：《实用临床医药杂志》2012年第19期142-144,共3页Journal of Clinical Medicine in Practice

摘　　要：目的评价腰麻-硬膜外联合麻醉和硬膜外麻醉在经尿道前列腺电切术(TURP)的麻醉效果及安全性。方法将60例拟行TURP的BPH患者随机分为CSEA组和CEA组。通过监测生命体征,测定镇痛平面、麻醉平面,记录感觉阻滞起效时间、镇痛持续时间,评定运动阻滞效果,记录运动阻滞起效时间、达最大运动阻滞时间、最大阻滞节段、运动阻滞的持续时间,评定麻醉效果。结果 CSEA组麻醉效果明显优于CEA组。CSEA组术后无头痛和神经系统并发症发生。结论高龄患者TURP中使用CSEA是安全、有效的,与CEA相比,有很大的优越性,应作为高龄患者TURP的首选麻醉方法。Objective To assess the efficacy and safety of combined spinal epidural anesthe- sia （CSEA） and continuous epidural anesthesia （CEA） in patients undergoing transurethral resection of prostate （TURP）. Methods Sixty patients undergoing TURP were randomly divided into CEA group and CSEA group. The vital signs were monitored during anesthesia. The levels of hypalgesia and analgesia were measured. The onset and duration of sensory block were recorded. The effect of motor block was evaluated. The onset and duration of motor block, the peak time of motor block and the block height were recorded and then the effect of anesthesia was assessed. Results The ef- fect of CSEA group was significantly superior to CEA group. None of CSEA group had headache and nervous system complications. Conclusion CSEA can be used safely and effectively for the el- derly patients undergoing TURP, which is superior to CEA and is the preferred method for the el- derly patients undergoing TURP.

关 键 词：腰麻-硬膜外联合麻醉 硬膜外麻醉 经尿道前列腺电切术 

分 类 号：R614[医药卫生—麻醉学]