广西医学2011，Vol.33Issue(7)：807-809,3.
老年患者经皮肾镜碎石围术期呼吸功能变化的研究
Study of Percutaneous Nephrolithotripsy on the Respiratory Function during Perioperative Period in the Elderly
摘要
Abstract
Objective To investigate the effect of percutaneous nephrolithotripsy on the respiratory function during perioperative period in the elderly. Methods 60 renal calculus patients with normal respiratory function, ASA Ⅰ to Ⅱ, age ＞ 60 years were recruited. Of them,30 patients were given percutaneous nephrolithotripsy( group A ), the others were given transabdominal lithotomy( group B ). The time of monitors were pre-anesthesia( To ), 10 minutes after anesthesia( T1 ),30 minutes after operation( T2 ), 60 minutes after operation( T3 ), 120 minutes after operation( T4 ),peak value pre-operation( T5 ), 60 minutes post-operation( T6 ). The sample of arterial blood and central vein were collected for blood gas analysis. The operation time, time of tube drawing, time of stay in post-anesthetic ICU( PACU ),SvO2,SaO2,PvO2,PaCO2,PaO2 were recorded. Cd,Qs/QT and P( A-a )02 were calculated by the formula. Results The operation time, time of tube drawing, time of staying in PACU were not significantiy different between the two groups ( P ＞ 0.05 ). The Qs/QT and P( A-a )02 elevated with time and significantiy higher than that of pre-anesthesia( P ＜ 0.05 ),but no significant difference were fotmd between the two groups( P ＞ 0.05 ). Cd was significantiy decreased after anesthesia ( P ＜0.05 ), but no significant difference was found between the two groups( P ＞ 0. 05 ). Conclusion The respiratory system in the elderly is aging and the pulmonary function degenerate. The anesthesia and long time of prone position will deteriorate pulmonary function and the time of operation should be shortened.关键词
经皮肾镜碎石/老年患者/呼吸功能/围术期Key words
Pereutaneous nephrolithotripsy/ Elderly patients/ Respiratory function/ Perioperative period分类
医药卫生引用本文复制引用
刘燕洁,梁宁,马力,张学刚,叶凤青..老年患者经皮肾镜碎石围术期呼吸功能变化的研究[J].广西医学,2011,33(7):807-809,3.基金项目
广西自然科学基金资助项目(2011GXNSFA018234) （2011GXNSFA018234）
