麻醉类型对老年男性皮穿性利切除术结果的影响
Sedat Oner1, Efe Onen1, Volkan Caglayan1
1Department of Urology, University of Health Sciences Bursa City Hospital, Bursa, Turkey.
Annals of medicine
|July 22, 2023
概括
结合脊柱外皮麻醉 (CSEA) 和全身麻醉 (GA) 在老年男性的皮肤透神经切除术中显示出相似的安全性和有效性. CSEA可能会减少手术室和康复时间,以及术后止痛药的需求.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 老年医学 老年医学
背景情况:
- 穿皮骨切除术 (PCNL) 是对结石的一种常见手术.
- 在老年男性中选择PCNL麻醉需要仔细考虑安全性和有效性.
- 之前的研究并没有在这个人群中明确比较结合脊椎外周麻醉 (CSEA) 与全身麻醉 (GA).
研究的目的:
- 为了比较CSEA与GA在老年男性患者的PCNL的安全性和有效性.
- 在这个人群中评估与不同麻醉方法相关的术前和术后结果.
主要方法:
- 对接受PCNL的老年男性患者的回顾性分析.
- 患者被分为两个组:CSEA (n=70) 和GA (n=114).
- 评估了术前,术后和术后的结果,包括并发症率和无结石率.
主要成果:
- 两组之间没有观察到石头负担,位置,鹿角结石,ASA分数或异常状况的显著差异.
- 在CSEA下的PCNL与明显缩短的手术室和麻醉后护理单位 (PACU) 时间有关.
- 在CSEA和GA组之间,无石头率,成功率和Clavien级1+并发症的发生率在CSEA和GA组之间是相似的.
结论:
- 麻醉类型不会影响老年男性PCNL的成功率或并发症率.
- 通过减少术后止痛药的需求和缩短OR/PACU持续时间,CSEA可能会带来好处.
- CSEA促进了更有效地利用手术室.
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