[1]申 英.持续硬膜外麻醉与全麻行经皮肾镜取石手术效果比较[J].医学信息,2018,31(07):118-119.[doi:10.3969/j.issn.1006-1959.2018.07.039]
　SHEN Ying.Comparison of Percutaneous Nephrolithotomy between Continuous Epidural Anesthesia and General Anesthesia[J].Journal of Medical Information,2018,31(07):118-119.[doi:10.3969/j.issn.1006-1959.2018.07.039]
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持续硬膜外麻醉与全麻行经皮肾镜取石手术效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年07期
页码:
118-119
栏目:
临床研究
出版日期:
2018-04-01

文章信息/Info

Title:
Comparison of Percutaneous Nephrolithotomy between Continuous Epidural Anesthesia and General Anesthesia
文章编号:
1006-1959（2018）07-0118-02
作者:
申 英
四川结石病医院麻醉科，四川 成都 610000
Author(s):
SHEN Ying
Department of Anesthesiology,Sichuan Lithiasis Hospital,Chengdu 610000,Sichuan,China
关键词:
经皮肾镜取石; 全身麻醉; 持续硬膜外麻醉
Keywords:
Key words：Percutaneous nephrolithotomy; General anesthesia; Continuous epidural anesthesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2018.07.039
文献标志码:
A
摘要:
目的 研究对经皮肾镜取石术患者实施持续硬膜外麻醉与全身麻醉的临床效果，比较两种方式的安全性。方法 选择2016年4月~12月在本院接受经皮肾镜取石手术治疗的患者60例，将其随机分成观察组和对照组，各30例。观察组患者接受持续硬膜外麻醉，对照组患者接受全身麻醉，比较两组患者麻醉后平均动脉压（MAP）、呼吸频率（RR）、心率（HR）、血氧饱和度（SpO2）、中心静脉压（CVP）等指标，同时观察两组并发症发生情况。结果 观察组中患者的MAP、RR、HR、SpO2及CVP等水平均优于对照组，差异有统计学意义（P＜0.05），观察组并发症发生率低于对照组（13.33% vs 33.33%），差异有统计学意义（P＜0.05）。结论 临床上针对经皮肾镜取石手术患者可以运用持续硬膜外麻醉的形式，其操作简单，安全性高，对患者造成的影响小，术后并发症率低，值得临床推广。
Abstract:
Abstract：Objective To study the clinical effects of continuous epidural anesthesia and general anesthesia in patients undergoing percutaneous nephrolithotomy and compare the safety of the two methods.Methods 60 patients undergoing percutaneous nephrolithotomy from April to December 2016 were randomly divided into two groups:the observation group and the control group with 30 cases each.The patients in the observation group received continuous epidural anesthesia,while the patients in the control group received general anesthesia.The mean arterial pressure(MAP),respiratory frequency(RR),heart rate(HR),blood oxygen saturation(SPO2) and central venous pressure(CVP)were compared between the two groups.Complications were observed in both groups.Results The levels of MAP,RR,HR,SpO2 and CVP in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group (13.33%vs33.33%),the difference was statistically significant(P<0.05).Conclusion Continuous epidural anesthesia can be used in patients undergoing percutaneous nephrolithotomy.It is easy to operate,has high safety,has little influence on patients,and has low postoperative complications,so it is worth popularizing.

参考文献/References:

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更新日期/Last Update: 2018-04-01