经尿道输尿管镜气压弹道碎石术两种麻醉方式的比较  

Comparison of Two Anesthesia Methods for Ureter Renal Scopy Lithotripsy

作　　者：张秀平[1] 徐静[1] 

机构地区：[1]四川省自贡市第三人民医院,四川自贡643000

出　　处：《中国医学创新》2013年第2期24-25,共2页Medical Innovation of China

摘　　要：目的:探讨异丙酚复合地佐辛用于经尿道输尿管镜气压弹道碎石术麻醉的效果和安全性。方法:选择输尿管中下段结石拟经尿道行输尿管镜气压弹道碎石术的患者80例,年龄23～60岁,体重45～65kg,ASA分级Ⅰ级或Ⅱ级。随机分为两组:硬膜外麻醉组(A组)和异丙酚复合0.1mg/kg地佐辛静脉全麻组(B组),每组各40例。记录两组麻醉诱导时间、手术时间、离室时间、发生呼吸抑制的例数、血流动力学变化和麻醉满意率。结果:两组均获得良好的麻醉效果。与A组比较,B组麻醉起效的时间明显缩短(P<0.05)。结论:异丙酚复合地佐辛用于经尿道输尿管镜碎石术麻醉效果确切,麻醉起效时间缩短,值得临床推广使用。Objective： To investigate the effect and safety of dezocine and propofol anesthesia applied to ureter renal seopy lithotripsy （ URSL ） . Method： 80 ASA I - 11 patients with nreteral calculi aged 23-60 yr weighing 45-65 kg undergoing ureter renal seopy lithotripsy were divided into 2 groups randomly （ n=40, each ） ： epidurai anesthesia group （ group A ）, propofol combined with 0.1 mg/kg dezocine group （ group B ） .To Record the onset time of anesthesia, operation time, respiratory depression, hemodynamic indexes, anesthesia effect and recovery time of anesthesia.Result： Anesthetic effects were satisfying in both the groups.The onset time of anesthesia in group B was significantly shorter than that in group A （ P〈0.05 ） . Conclusion： The effect of anesthesia is satisfied in dezocine and propofol anesthesia in URSL.The onset time of anesthesia was shorter.

关 键 词：地佐辛 输尿管结石 气压弹道碎石术 硬膜外麻醉 静脉麻醉 

分 类 号：R614[医药卫生—麻醉学]