[1]吴春风,姚汝贺,李国建,等.保留自主呼吸静脉全麻与气管插管全麻在输尿管镜碎石术中的效果比较[J].医学信息,2022,35(03):130-132.[doi:10.3969/j.issn.1006-1959.2022.03.033]
　WU Chun-feng,YAO Ru-he,LI Guo-jian,et al.Effect Comparison of Intravenous Anesthesia with Spontaneous Ventilation andTracheal Intubation Under General Anesthesia in Ureteroscopy Lithotripsy[J].Medical Information,2022,35(03):130-132.[doi:10.3969/j.issn.1006-1959.2022.03.033]
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保留自主呼吸静脉全麻与气管插管全麻在输尿管镜碎石术中的效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年03期
页码:
130-132
栏目:
临床研究
出版日期:
2022-02-01

文章信息/Info

Title:
Effect Comparison of Intravenous Anesthesia with Spontaneous Ventilation andTracheal Intubation Under General Anesthesia in Ureteroscopy Lithotripsy
文章编号:
1006-1959（2022）03-0130-03
作者:
吴春风1; 姚汝贺1; 李国建2; 卢国汉1
广东顺德新容奇医院泌尿外科1，麻醉科2，广东 顺德 528300
Author(s):
WU Chun-feng1; YAO Ru-he1; LI Guo-jian2; LU Guo-han1
Department of Urology1,Department of Anesthesiology2,Xinrongqi Hospital,Shunde 528300,Guangdong,China
关键词:
自主呼吸; 气管插管; 输尿管镜碎石术; 快速康复
Keywords:
Spontaneous ventilation; Tracheal intubation; Ureteroscopic lithotripsy; Rapid rehabilitation
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2022.03.033
文献标志码:
A
摘要:
目的 探讨保留自主呼吸静脉全麻在输尿管镜碎石术中的安全性与可行性，以及在快速康复中的优势。方法 回顾性分析2020年7月-12月于我院接受治疗的82例输尿管镜碎石术患者，按麻醉方式分为对照组（32例）和观察组（50例）。对照组采用气管插管全麻，观察组给予患者保留自主呼吸静脉全麻，均行输尿管镜碎石术治疗，比较两组手术时间、麻醉时间、复苏时间、患者进入复苏室即刻动脉血氧分压、二氧化碳分压、pH值、术后开始下床时间、术后声嘶发生情况及术后住院时间。结果 两组手术时间、麻醉时间、氧分压比较，差异无统计学意义（P＞0.05）；观察组复苏时间、进入复苏室即刻pH值小于对照组，差异有统计学意义（P＜0.05）；观察组二氧化碳分压高于对照组，差异有统计学意义（P＜0.05）；观察组术后6 h内下床、术后声音嘶哑及术后住院时间等于2 d例数均高于对照组，差异有统计学意义（P＜0.05）。结论 保留自主呼吸静脉全麻在输尿管镜碎石术中是安全、可行的，同气管插管全麻相比患者术后下床时间早，声音嘶哑发生率低，术后住院时间短，在快速康复方面具有一定优势。
Abstract:
Objective To explore the safety and feasibility of intravenous anesthesia with spontaneous ventilation in ureteroscopy lithotripsy and its advantages in rapid rehabilitation.Methods A retrospective analysis was conducted on 82 patients undergoing ureteroscopy lithotripsy in our hospital from July 2020 to December 2020. They were divided into the control group (32 cases) and the observation group (50 cases) according to the anesthesia method. The control group was given tracheal intubation under general anesthesia, the observation group was given intravenous anesthesia with spontaneous ventilation, and all patients underwent ureteroscopy lithotripsy. The operation time, anesthesia time, recovery time, arterial oxygen partial pressure, carbon dioxide partial pressure, pH value, postoperative ambulation time, postoperative hoarseness and postoperative hospital stay were compared between the two groups.Results There was no significant difference in operation time, anesthesia time and oxygen partial pressure between the two groups (P>0.05). The recovery time and immediate pH value of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). The partial pressure of carbon dioxide in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The number of patients in the observation group who got out of bed within 6 h after operation, hoarseness after operation and hospitalization time equal to 2 d after operation was higher than that in the control group, and the difference was statistically significant (P<0.05).Conclusion Intravenous anesthesia with spontaneous ventilation in ureteroscopic lithotripsy is safe and feasible. Compared with tracheal intubation under general anesthesia, patients get out of bed earlier, the incidence of hoarseness is low, and the postoperative hospital stay is short, which has certain advantages in rapid rehabilitation.

参考文献/References:

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更新日期/Last Update: 1900-01-01