经尿道输尿管镜弹道碎石术全身麻醉效果研究  

Efficacy of general anesthesia in transurethral ureteroscopic lithotripsy

作　　者：王霄鹏[1] 郑恒兴[1] 武海龙[1] 

机构地区：[1]陕西省宝鸡市中心医院麻醉手术科,721008

出　　处：《检验医学与临床》2014年第18期2557-2558,共2页Laboratory Medicine and Clinic

摘　　要：目的探讨全身麻醉用于经尿道输尿管镜弹道碎石术(TURL)的麻醉效果。方法以2012年5月至2013年8月于本院行全身麻醉下TURL治疗的80例患者作为治疗组,同期行尿道黏膜表面麻醉下TURL治疗的80例患者作为对照组。比较两组患者麻醉诱导时间、麻醉维持时间、麻醉满意率、手术时间及麻醉效果。结果两组患者手术时间比较差异无统计学意义(P>0.05),麻醉诱导时间、麻醉维持时间、麻醉满意率比较差异有统计学意义(P<0.05);治疗组、对照组麻醉效果总优良率分别为93.7%、85.0%,组间比较差异有统计学意义(P<0.05)。结论在TURL治疗过程中采用全身麻醉,麻醉效果显著、起效快。Objective To investigate efficacy of general anesthesia in transurethral ureteroscopy lithotripsy（TURL）.Methods From May 2012 to August 2013,80 patients receiving TURL under general anesthesia were enrolled as treatment group,and 80 patients receiving TURL under surface anesthesia of urethral mucous membrane were enrolled as control group.Anesthesia induction time,anesthesia duration,anesthesia satisfaction rate,operation time and anesthesia effects were compared between the two groups.Results There was no significant difference of operation time between the two groups（P〉0.05）,but the differences of induction time,anesthesia duration and anesthesia satisfaction rate were significant（P〈0.05）.Overall fitness rates of anesthesia effects in treatment group and control group were 93.7%and 85.0%,which were with significant difference（P〈0.05）.Conclusion Application of general anesthesia in TURL might be with effects of significant and fast effects.

关 键 词：全身麻醉 尿道黏膜表面麻醉 经尿道输尿管镜弹道碎石术 麻醉效果 

分 类 号：R691.4[医药卫生—泌尿科学]