老年患者经尿道前列腺电切手术麻醉体会.docVIP

精品论文 参考文献 老年患者经尿道前列腺电切手术麻醉体会 张 友 　　四川省资阳市人民医院 641300 　　摘要：目的：研究和分析老年患者经尿道前列腺电切手术麻醉的方式以及效果。方法：本次临床实践研究主要选取了2014年5月-2015年5月期间，在本院接受行前列腺切除术的47例老年前列腺增生患者作为临床麻醉麻醉的对象，将47例患者随机分为观察组24例和对照组23例。观察组采用腰-硬联合的麻醉方式，对照组采用硬膜外麻醉的方式，对比两组患者的麻醉起效时间、麻醉效果以及术后并发症发生情况。结果：观察组的麻醉起效时间为（3.12plusmn;0.67）min，麻醉效果较好，患者的肌肉松弛良好，没有时间受限的顾虑，1例患者出现恶心、胸闷等症状。对照组的麻醉起效时间为（10.63plusmn;2.65）min，麻醉中3例患者阻滞不全，改为麻醉，患者的肌肉松弛良好，没有时间受限的顾虑，3例患者出现恶心、胸闷等症状，两组之间的差异对比具有统计学意义（P＜0.05）。结论：老年患者经尿道前列腺电切手术麻醉中采用腰-硬联合的麻醉方式，麻醉效果相对较好，患者的并发症状相对较少，麻醉起效时间较快，值得在临床麻醉当中广泛推广和应用。 　　关键词：老年患者；经尿道前列腺电切手术；手术麻醉；硬膜外麻醉 　　【Abstract】Objective：To study and analysis of elderly patients with transurethral prostatic electricity cut the way and the effect of general anesthesia.Method：the clinical practice in May 2014 - May 2015，line prostatectomy palsy of 47 cases of elderly patients with hyperplasia of prostate as objects of anesthesia clinical anesthesia，47 patients were randomly divided into observation group 24 cases and the control group of 23 cases.Observation group the waist - hard joint way of anesthesia，the control group with the method of epidural anesthesia，compared two groups of patients with anesthesia work time，the effect of anesthesia and postoperative complications.Results：observation group of anesthesia effect time is（3.12plusmn;0.67）min，anesthesia effect is good，the patients muscle relaxation is good，have no time limited，1 case of patients with symptoms such as nausea，chest tightness.Control of anesthesia effect time is（10.63plusmn;2.65）min，3 patients during anesthesia block is not complete，instead of anesthesia，the patients muscle relaxation is good，dont have the time limited，3 cases of patients with symptoms such as nausea，chest tightness，contrast the difference between the two groups have statistical significance（P lt;0.05）.Conclusion：elderly patients with transurethral prostatic cutting anesthesia in the waist - hard joint way of anesthesia，anesthesia effect is relatively good，relatively small complication of patients，the anest