腰-硬联合麻醉下行经尿道双极等离子前列腺电切术的效果

Effect of transurethral bipolar plasma prostatectomy under combined spinal-epidural anesthesia

目的观察腰-硬联合麻醉下行经尿道双极等离子前列腺电切术的效果。方法随机选取2018年3月~2019年6月在我院行经尿道双极等离子前列腺电切术的60例患者,依据随机数字表法分为腰-硬联合麻醉组(n=30)和连续硬膜外麻醉组(n=30)。连续硬膜外麻醉组患者接受连续硬膜外麻醉,腰硬联合麻醉组患者接受腰硬联合麻醉,统计分析两组患者的阻滞平面评分、麻醉起效时间、阻滞完善时间、麻醉药物用量、不良反应发生情况。结果腰-硬联合麻醉组患者的麻醉起效时间、阻滞完善时间均显著短于连续硬膜外麻醉组(P<0.05),麻醉药物用量显著少于连续硬膜外麻醉组,差异有统计学意义(P<0.05);但两组患者的阻滞平面评分比较,差异无统计学意义(P>0.05)。腰-硬联合麻醉组患者的不良反应总发生率为10.0%(3/30),显著低于连续硬膜外麻醉组的30.0%(9/30),差异有统计学意义(P<0.05)。结论腰-硬联合麻醉下行经尿道双极等离子前列腺电切术的效果较连续硬膜外麻醉好。

Objective To observe the effect of transurethral bipolar plasma prostatectomy under combined spinal-epidural anesthesia.Methods A total of 60 cases of patients undergoing transurethral bipolar plasma prostatectomy in our hospital from March 2018 to June 2019 were selected and divided into the combined spinal-epidural anesthesia group(n=30)and the continuous epidural anesthesia group(n=30)according to the random number table method.Patients in the continuous epidural anesthesia group received continuous epidural anesthesia,patients in the combined spinal epidural anesthesia group received combined spinal epidural anesthesia.The block plane scores,onset time of anesthesia,perfect time of block and anesthetic drugs dosages,adverse reactions of the two groups were statistically analyzed.Results The onset time of anesthesia,perfect time of block of the combined spinal-epidural anesthesia group were significantly shorter than those of the continuous epidural anesthesia group(P<0.05),the dosage of anesthetics of the combined spinal-epidural anesthesia group was significantly less than that of the continuous epidural anesthesia group,the differences were statistically significant(P<0.05).But the difference of score of block plane between the two groups was not significant(P>0.05).The total incidence of adverse reactions of the combined spinal-epidural anesthesia group was 10.0%(3/30),which was significantly lower than 30.0%(9/30)of the continuous epidural anesthesia group,the difference was statistically significant(P<0.05).Conclusion The effect of combined spinal epidural anesthesia is better than that of continuous epidural anesthesia.