中国药房2016，Vol.27Issue(17)：2379-2381,2382,4.DOI:10.6039/j.issn.1001-0408.2016.17.25
蛛网膜下腔阻滞麻醉在老年患者腔内泌尿外科微创手术中的应用
Application of Subarachnoid Block Anesthesia in Endoulogy Minimally Invasive Surgery of Elderly Patients
胡跃世 1李鹏 1曹志华 1刘磊 1王阳1
作者信息
- 1. 南阳市中心医院泌尿外科，河南南阳 473000
- 折叠
摘要
Abstract
OBJECTIVE:To explore the effect of subarachnoid block anesthesia in endoulogy minimally invasive surgery of el-derly patients. METHODS:198 elderly patients underwent endoulogy minimally invasive surgery were randomly divided into obser-vation group (100 cases) and control group (98 cases). Observation group received subarachnoid block anesthesia,and control group received epidural anesthesia. The anesthesia onset time,anesthesia dose,surgery time,complete block time,satisfaction de-gree of anesthesia effect,the occurrence of ADR were compared between 2 groups. RESULTS:Anesthesia onset time and complete block time of observation group were (1.5 ± 0.6) min and (7.9 ± 3.9)min,which were significantly shorter than those of control group (4.5 ± 1.2) and (17.5 ± 4.3) min,with statistical significance (P<0.05). The anesthesia dose of observation group was (20.2 ± 4.8)mg,which was significantly lower than that of control group [(103.4 ± 20.1)mg],with statistical significance (P<0.05);the satisfaction degree of anesthesia effect was 95.0% in observation group,which was significantly higher than that of con-trol group(69.4%),with statistical significance(P<0.05);there was no statistical significance in surgery time and the incidence of ADR between observation group and control group(P>0.05). CONCLUSIONS:Subarachnoid block anesthesia consumes small dose,acts rapidly and shows significant anesthesia effect,it is used for endoulogy minimally invasive surgery of elderly patients.关键词
蛛网膜下腔阻滞麻醉/硬膜外麻醉/腔内泌尿外科微创手术/老年Key words
Subarachnoid block anesthesia/Epidural anesthesia/Endoulogy minimally invasive surgery/Elderly分类
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胡跃世,李鹏,曹志华,刘磊,王阳..蛛网膜下腔阻滞麻醉在老年患者腔内泌尿外科微创手术中的应用[J].中国药房,2016,27(17):2379-2381,2382,4.
