不同麻醉方法下经皮肾镜下取石术的效果比较  

Effect comparison of nephrolithotomy lithotomy by different anesthesia methods

作　　者：艾永凯[1] 韩佳[1] 刘欣[1] 

机构地区：[1]四川省德阳市人民医院麻醉科,四川德阳618000

出　　处：《实用临床医药杂志》2015年第15期129-131,共3页Journal of Clinical Medicine in Practice

摘　　要：目的比较椎管内麻醉与全身麻醉用于经皮肾镜下取石术患者的安全性和临床效果。方法 100例行经皮肾镜取石的肾结石患者随机分为观察组和对照组,每组50例。观察组给予椎管内麻醉,对照组给予全身麻醉。比较2组患者手术结果、术后并发症、术后24 h需要镇痛药物剂量及临床效果。结果 2组患者手术时间、住院时间、术前GFR、术后GFR、结石排空率、并发症发生率无显著差异(P>0.05)。2组术后镇痛药物剂量有显著差异(P<0.01)。结论椎管内麻醉与全身麻醉的手术结果及并发症发生率相似。Objective To compare the safety and clinical effect of spinal anesthesia and general anesthesia in the percutaneous nephrolithotomy. Methods A total of 100 patients were randomly divided into observation group and control group, 50 cases in each group. The observa- tion group was treated with spinal anesthesia, while the control group was treated with general anesthesia. Surgical results, postoperative complications and postoperative 24 hours analgesic drug doses as well as clinical effect were compared. Results There were no significant differences in operation time, hospitalization time, preoperative GFR, GFR after operation, stone free rate and complication probability between two groups （P 〉0.05）. There was significant difference in post- operative analgesia dosage between two groups （P 〈 0.01 ）. Conclusion The surgery results of spinal canal anesthesia and general anesthesia and incidence rate of comolications are similar.

关 键 词：椎管内麻醉 全身麻醉 经皮肾镜下取石术 疗效 

分 类 号：R692.4[医药卫生—泌尿科学]