两种麻醉方式用于膀胱镜检的比较观察.docVIP

两种麻醉方式用于膀胱镜检的比较观察 【关键词】nbsp; 麻醉 　　摘要：目的：比较膀胱镜检两种麻醉方式的优劣，推介一种新的麻醉方法。方法：选择行膀胱镜检查治疗的病人38例，平均分为骶管组和异丙酚组。观察麻醉过程的各项指标，比较其特点。结果：异丙酚组明显优于骶管组。结论：用异丙酚+芬太尼静脉全麻行膀胱镜检可克服骶管阻滞的诸多缺点，极大地提高了麻醉质量，又节省了手术各方大量的时间，安全可靠，快捷方便，并发症少，术后病人须住院观察的可能性极小，对门诊病人尤为适用。 　　关键词：膀胱镜检；异丙酚+芬太尼；骶管阻滞 　　A Comparsion Study of the Two Kinds of Anesthesia Ways Used for Cystoscopynbsp; 　　　Abstract： Objective: To compare good and bad of the two anesthesia ways to bladder mirror examination, introduce a new anesthetic way. Method: Choose 38 patients who is being treated by bladder mirror examination to averagely allocate them to Caudal block group(n=19) or Propofol group (n=19), study kinds of indexes of anesthesia procedures and compare their characteristics. Result: Propofol group is obviously superior to Caudal block group. Conclusion: Using bladder mirror examination which is Propofol+Fentanyl complete vein anesthesia is easy to overcome the shortingcomings ofnbsp; Caudal block , greatly improve anesthesia quality. Whats more,it can save much operating time; and is safe、 reliable、 fast and convenient. It can decrease complications. There is little possibility that patients have to stay in hospital to be observed after operation. It is suitable for outpatients. 　　Key words：Cystoscopy; Diprivan+Fentanyl; Caudal block nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; 　　膀胱镜是泌尿外科很常见的检查和治疗手段。经膀胱镜可行尿道、前列腺、膀胱疾患的检查诊断；也可取小结石、膀胱异物包括DJ管，息肉摘除等小手术治疗。经膀胱镜检查和治疗手术时间短，创伤小，一般无须住院。但手术过程对病人刺激较大，不适感显著。 　　随着人们生活质量的提高，无痛苦地接受各种侵入性检查治疗的要求越来越高。传统上，骶管阻滞用于膀胱镜检，解决了病人的痛苦，也给医生检查带来了方便。但也存在很多问题，为克服这些问题，我们采用异丙酚+芬太尼静脉全麻行膀胱镜检，并与骶麻作了对比，取得了满意的效果。现报告如下： 　　1 临床资料