经皮肾镜碎石术麻醉方式的选择
作者：李宁　朱玉霖
来源：《医学信息》2016年第20期

        摘要：目的 探讨高龄患者行经皮肾镜碎石术的最佳麻醉方法。方法 将56例单侧结石老年人患者按照随机数字表法分成2组：①组，腰硬联合麻醉；②组，全身麻醉。比较两组麻醉镇痛效果、麻醉后不良反应发生及血流动力学波动情况。结果 ①组的麻醉镇痛满意度92.86%与②组的96.43%比较无显著性差异（P>0.05）；①组易出现低血压（5例），②组易出现体温过低且苏醒延迟（4例）；②组截石位、俯卧位时的收缩压、舒张压和心率均明显稳定于①组（P

        关键词：经皮肾镜碎石术；全身麻醉；腰硬联合麻醉；血流动力学

        Abstract：Objective To investigate the best anesthesia method for elderly patients in percutaneous nephrolithotomy lithotripsy. Methods The 56 cases of of elderly patients with unilateral stones according to the random number table is divided into two groups： group1 was given spinal and epidural anesthesia， and group2 was given general anesthesia. The anesthetic effect， adverse reactions after anesthesia， and the changes of hemodynamic in 2 groups were compared. Results The analgesic satisfaction 92.86%in the group1 were no significant difference than the group2 96.43% （P