腰麻-硬膜外联合麻醉及全凭静脉用于经皮肾镜碎石术的麻醉效果比较  

Comparison of the effects of combined spinal epidural anesthesia and total intravenous anesthesia in percutaneous nephrolithotomy

作　　者：黄伟[1] 覃思平[1] 韦巧松[1] 

机构地区：[1]百色市人民医院,广西百色533000

出　　处：《蛇志》2017年第1期25-26,共2页Journal of Snake

摘　　要：目的观察经皮肾镜碎石术行腰麻-硬膜外联合麻醉与全凭静脉麻醉的临床效果。方法选择我院行经皮肾镜碎石术治疗的80例患者为研究以对象,随机分为对照组和研究组各40例,对照组实施全凭静脉麻醉,研究组实施腰麻-硬膜外联合麻醉,观察比较两组患者的麻醉效果、麻醉完全苏醒时间和不良反应情况。结果研究组的麻醉总有效率达95.0%明显高于对照组的77.5%,不良反应少于对照组,麻醉完全苏醒时间短于对照组,差异均有统计学意义(均P<0.05)。结论经皮肾镜碎石术采用腰麻-硬膜外联合麻醉的效果好,苏醒时间短,不良反应少,是一种安全可行的麻醉方式。Objective To observe the clinical effect of combined spinal epidural anesthesia and total intravenous anesthesia in percutaneous nephrolithotomy. Methods In our hospital by the treatment of 80 cases of percutane-ous nephrolithotomy patients were randomly divided into control group and study group with 40 cases in each group, control group received total intravenous anesthesia, combined with the research group received spinal epi-dural anesthesia. Results The total effective rate of anesthesia in the study group was 95% , which was signifi-cantly higher than that of the control group,and the adverse reactions caused by the anesthetic drugs were less than those in the control group. The time of complete anesthesia recovery was shorter than that in the control group （alLP〈0. 05）. Conclusion During the operation, the patients undergoing percutaneous nephrolithotomy com-bined with spinal epidural anesthesia can reduce the adverse reaction caused by anesthesia？ shorten the recovery time and hospitalization time.

关 键 词：经皮肾镜碎石术 腰麻硬膜外联合麻醉 全凭静脉麻醉 效果 

分 类 号：R614[医药卫生—麻醉学]