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目的腰麻硬膜外联合麻醉(CSEA)应用于经尿道双极等离子前列腺电切术(PKRP)的临床效果和体会。方法所有患者均在CSEA下完成手术,记录患者入室时(T0)、给予腰麻药后10 min(T1)、手术开始(T2)、手术30 min(T3)、手术60 min(T4)、手术结束(T5)各时点的平均动脉压(MAP)和心率(HR);记录麻醉效果、不良反应和患者的满意度。结果 CSEA在高龄患者PKRP术中麻醉效果完善,生命体征维持相对平稳。结论 CSEA可以安全可靠的用于PKRP术,值得推广应用。
Objective To evaluate the clinical effect and clinical experience of spinal-epidural anesthesia (CSEA) in transurethral bipolar plasma prostatectomy (PKRP). Methods All patients underwent surgery under CSEA. The patients were admitted to the hospital at T0, 10 min after the onset of spinal anesthesia (T1), T2 (operation), 30 min (T3), 60 min (T4) (T5) mean arterial pressure (MAP) and heart rate (HR) at each time point. The anesthetic effects, adverse reactions and patient satisfaction were recorded. Results CSEA improved the anesthesia in elderly patients with PKRP surgery and maintained stable vital signs. Conclusion CSEA can be safely and reliably used in PKRP and is worth popularizing.