摘要
目的:观察分析实时超声引导下硬膜外穿刺并置管在老年患者前列腺电切手术中的应用。方法:选择80例行前列腺电切手术的老年患者,运用随机数字法分为超声引导组和对照组,每组各40例。对照组行常规硬膜外穿刺并置管,超声引导组患者在超声引导下行硬膜外穿刺并置管。比较两组患者反复穿刺次数、穿刺时长,患者舒适度,需要更改麻醉方式例数、术后腰痛发生例数、穿刺过程中血压、心率和氧饱和度等生命体征。结果:与超声组比,对照组反复穿刺次数明显多,穿刺用时也更长(P<0.05);需要更改麻醉方式例数和术后腰痛例数超声组低于对照组(P<0.05);操作过程中患者血压、心率及氧饱和度超声组更加平稳(P<0.05)。结论:实时超声引导下硬膜外阻滞除了准备时间稍长,其他均优于传统的穿刺方法,有一定的临床应用价值。
Objective:To observe and analyze the application of real-time ultrasound-guided epidural block in elderly patients undergoing electroprostatectomy. Methods:80 elderly patients undergoing resection of prostates were chosen and randomly divided into the ultrasound-guided group and the control group, 40 cases in each group. The control group were given conventional epidural puncture and catheterization, while the ultrasound-guided group were given ultrasound-guided epidural puncture and catheterization, with the times of repeated puncture, puncture time, patient comfort, the number of cases needing to change the anesthesia method, the number of cases of postoperative low back pain, and vital signs such as blood pressure, heart rates and pulse oxygen saturation during puncture compared between the two groups. Results:The times of repeated puncture in the control group was significantly more than that of the ultrasound-guided group;the puncture time in the control group was longer than that of the ultrasound-guided group;the number of cases requiring change of anesthesia methods and postoperative low back pain in the ultrasound-guided group was smaller than that in the control group. During the operation, the blood pressure, the heart rate and pulse oxygen saturation of patients in the ultrasound group were more stable. Conclusion:Real-time ultrasound-guided epidural block is better than the traditional puncture method except that the preparation time is a little longer, worthy of clinical application to a certain degree.
作者
林森
黄振兴
徐敏
李云
LIN Sen;HUANG Zhenxing;XU Min;LI Yun(The First People’s Hospital in Foshan,Foshan 528000,China)
出处
《包头医学院学报》
CAS
2021年第6期33-35,共3页
Journal of Baotou Medical College
关键词
超声引导
前列腺电切术
硬膜外麻醉
老年患者
Ultrasonic guidance
Electroprostatectomy
Epidural anesthesia
Elderly patients