经尿道前列腺切除术的椎管内麻醉研究现状  

Research Status of Intraspinal Anesthesia in Transurethral Resection of Prostate

作　　者：赵明园[1] 黄泽汉[1] ZHAO Mingyuan;HUANG Zehan(Department of Anesthesiology,Affiliated Hospital of Youjiang Medical College for Nationalities,Baise 533000,China)

机构地区：[1]广西右江民族医学院附属医院麻醉科,百色533000

出　　处：《中国医药指南》2024年第2期45-47,共3页Guide of China Medicine

基　　金：百色市科学研究与技术开发计划(百科20232078)。

摘　　要：良性前列腺增生好发于中老年患者,常需手术治疗,经尿道前列腺切除术(TURP)是老年患者良性前列增生最常见的手术方式,麻醉方法首选椎管内麻醉,而老年患者常伴有高血压、冠心病、慢性阻塞性肺疾病、糖尿病等多种合并症,且各脏器功能衰退,对手术和麻醉的耐受力降低,麻醉风险增加。因此,麻醉方案的选择对于如何保障老年患者前列腺切除术的麻醉安全,实现快速康复有重要意义,本文对目前应用于老年患者TURP的椎管内麻醉做简要综述。BPH occurs in middle-aged and elderly patients and often requires surgical treatment.Transurethral resection of the prostate(TURP)is the most common surgical procedure for BPH in elderly patients,and intralesional anesthesia is the preferred method of anesthesia,whereas elderly patients are often accompanied by a variety of comorbidities,such as hypertension,coronary artery disease,chronic obstructive pulmonary disease,diabetes mellitus and other comorbidities,as well as the function of various organs declines,the tolerance to surgery and anesthesia decreases,and the risk of anesthesia increases.The risk of anesthesia increases.Therefore,the choice of anesthesia plan is of great significance for how to ensure the anesthesia safety of prostatectomy in elderly patients and achieve rapid recovery.This article provides a brief review of intrathecal anesthesia currently applied to TURP in elderly patients.

关 键 词：椎管内麻醉 经尿道前列腺切除术 老年患者 

分 类 号：R697.3[医药卫生—泌尿科学] R614.4[医药卫生—外科学]