摘要
目的:探讨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效果。方法:198例老年腔内泌尿外科微创手术患者按照随机数字表法分为观察组(100例)和对照组(98例)。观察组患者采用蛛网膜下腔阻滞麻醉;对照组患者采用硬膜外麻醉。比较两组患者的麻醉起效时间、麻醉用药量、手术时间、阻滞完全时间、麻醉效果满意度及不良反应发生情况。结果:观察组患者的麻醉起效时间为(1.5±0.6)min、阻滞完全时间为(7.9±3.9)min,均明显短于对照组[分别为(4.5±1.2)、(17.5±4.3)min],差异均有统计学意义(P<0.05);观察组患者的麻醉用药量为(20.2±4.8)mg,明显低于对照组的(103.4±20.1)mg,差异有统计学意义(P<0.05);观察组患者对麻醉效果的满意率为95.0%,明显高于对照组(69.4%),差异有统计学意义(P<0.05)。观察组患者手术时间和不良反应发生率与对照组比较,差异无统计学意义(P>0.05)。结论:蛛网膜下腔阻滞麻醉的用药量少、起效快、麻醉效果显著,适用于老年患者腔内泌尿外科微创手术。
OBJECTIVE：To explore the effect of subarachnoid block anesthesia in endoulogy minimally invasive surgery of elderly patients. METHODS：198 elderly patients underwent endoulogy minimally invasive surgery were randomly divided into observation 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 degree 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 control 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.
出处
《中国药房》
CAS
北大核心
2016年第17期2379-2382,共4页
China Pharmacy
