微创经皮肾输尿管镜取石术的麻醉效果  

Effect of anesthetic in minimally invasive percutaneous nephrolithotomy

作　　者：索爱军 

机构地区：[1]山西西山煤电集团职工总医院麻醉科,太原030053

出　　处：《中国实用医刊》2016年第1期26-27,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨微创经皮肾输尿管镜取石术的临床麻醉效果。方法选取2011年至2013年上尿路结石患者200例，均行微创经皮肾输尿管镜取石术，按年龄分为A、B、C、D四组，对其呼吸、体温、心电图（ECG）、血氧饱和度（SpO2）、心率（HR）、平均动脉压（MAP）等指标进行监测。结果200例均顺利完成手术，手术时间（1．15±0．47）h。患者对麻醉效果相对满意，D组HR和MAP不同时间点变化明显，差异有统计学意义（P〈0．05）。结论老年患者给予小剂量低浓度的局部麻醉处理，必要时选用硬膜外麻醉联合全身麻醉；小儿患者最好施行全身麻醉。围术期加强监护，以防大出血、腹腔积液等并发症。Objective To investigate the effect of anesthetic in minimally invasive percuta- neons nephrolithotomy. Methods From 2011 to 2013, 200 patients with upper urinary stone un- derwent minimally invasive percutaneous nephrolithotomy. According to age, the patients were divid- ed into group A, B, C and D, the breathing, body temperature, ECG, SpO2, HR, MAP and other indicators were monitored. Results Two hundred patients underwent the operation successfully, the operative time was （ 1. 15 ± 0.47 ） h. Patients anesthesia relatively satisfied, but the changes in HR and MAP of group D were more significant（ P 〈 0.05 ）. Conclusions The elderly patients should be given a small dose of a low concentration of local anesthetic treatment, if necessary, the epidural anesthesia combined with general anesthesia can be used; in children, the best treatment is general anesthesia. In addition, it should be strengthen the perioperative care, to prevent bleeding, ascites and other complications.

关 键 词：微创 经皮肾输尿管镜 麻醉效果 

分 类 号：R692[医药卫生—泌尿科学]