胸椎旁神经阻滞复合尿道黏膜麻醉在经皮肾镜手术中的应用  

The Application of Paravertebral Nerve Block Combined With Urethral Mucosa Anaesthesia in Percutaneous Nephroscope

作　　者：郭尔萍 刘磊[1] 董家才 王勇[1] 彭燕玲[1] 关江[1] GUO Erping;LIU Lei;DONG Jiacai;WANG Yong;PENG Yanling;GUAN Jiang(Department of Anesthesia,Qianjiang Central Hospital,Qianjiang Hubei 433199,China)

机构地区：[1]湖北省潜江市中心医院麻醉科,湖北潜江433199

出　　处：《中国继续医学教育》2018年第11期61-63,共3页China Continuing Medical Education

摘　　要：目的将胸椎旁神经阻滞麻醉复合尿道黏膜麻醉与超声引导下胸椎旁神经阻滞麻醉在经皮肾镜手术中的临床运用进行比较,以期在临床工作中有所收获。方法将80例患者随机分为胸椎旁神经阻滞复合尿道黏膜麻醉(GT组)与超声引导下胸椎旁神经阻滞组(G组),每组40例,观察两组患者的症状。结果 G组患者对尿道置管时的刺激症状,明显高于GT组,差异有统计学意义(P<0.05),两组患者术后不良反应及并发症,差异无统计学意义(P>0.05)。结论胸椎旁神经阻滞复合尿道黏膜麻醉在进行尿道置管时患者无明显尿道刺激症状,操作简单,方便,效果理想。Objective To compare the clinical application of thoracic paravertebral block anesthesia combined with urethral mucosal anesthesia and thoracic paravertebral block anesthesia in percutaneous nephrolithotomy,in order to gain some benefits in clinical work.Methods 80 patients were randomly divided into paravertebral nerve block combined with urethral mucosa anesthesia(group GT)and ultrasound guided paravertebral nerve block group(group G),40 cases in each group,patients'symptoms in two groups were observed.Results In group G,the symptoms of irritation of urethral catheterization were significantly higher than that in group GT(P<0.05).There was no significant difference between the two groups of postoperative adverse reactions and complications(P>0.05).Conclusion Paravertebral nerve block combined with urethral mucosa anaesthesia in urethral catheterization has no obvious urethral stimulation symptoms.The operation is simple and convenient,and the effect is ideal.

关 键 词：胸椎旁神经阻滞麻醉 尿道黏膜麻醉 经皮肾镜手术 

分 类 号：R614[医药卫生—麻醉学]