Advance Search
ZHANG Pengbo, QIAO Xiaoli. Comparison of two anesthesia methods for elderly patients undergoing transurethral resection of prostate[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 53-56. DOI: 10.7619/jcmp.202016015
Citation: ZHANG Pengbo, QIAO Xiaoli. Comparison of two anesthesia methods for elderly patients undergoing transurethral resection of prostate[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 53-56. DOI: 10.7619/jcmp.202016015
shu

Comparison of two anesthesia methods for elderly patients undergoing transurethral resection of prostate

  • 1. Department of Anesthesiology, Shaanxi Provincial Second People's Hospital, Xi'an, Shaanxi, 710005;

  • 2. Department of Anesthesiology, The Fourth People's Hospital of Shaanxi Province, Xi'an, Shaanxi, 710043

More Information
  • Received Date: March 20, 2020
  • Available Online: September 14, 2020
    Graphical Abstract
    • Abstract
  • Objective To compare the effect of combined spinal-epidural anesthesia of levobupivacaine and ropivacaine on postoperative respiratory function in elderly patients undergoing transurethral resection of prostate. Methods A total of 104 patients with prostatic hyperplasia were selected and divided into ropivacaine group and levobupivacaine group according to random number table method, with 52 cases in each group. The ropivacaine group was given 0.5% ropivacaine, and the levobupivacaine group was given 0.3% levobupivacaine for anesthesia. The conditions of sensory and motor blocks, hemodynamic changes before and after anesthesia, changes of respiratory function-related indicators and incidence rate of adverse reactions were compared between the two groups. Results The onset time of sensory and motor block in the ropivacaine group was longer than that in the levobupivacaine group, and the duration of sensory and motor block was shorter than that in the levobupivacaine group(P<0.05). There were no significant differences at different time points of anesthesia in the mean arterial pressure(MAP), heart rate(HR)and blood oxygen saturation(SpO2)between the two groups(P>0.05). After anesthesia, the peak expiratory flow rate(PEFR)and forced expiratory volume in 1 second(FEV1)in the ropivacaine group were significantly higher than those in the levobupivacaine group(P<0.05). The total incidence rate of adverse reactions in the ropivacaine group was significantly lower than that in the levobupivacaine group, but no significant difference was - found in two groups(P>0.05). Conclusion Combined spinal-epidural anesthesia of ropivacaine for elderly patients undergoing transurethral resection of prostate has faster motor recovery, less effects on respiratory system and higher safety.
    • FullText(HTML)
    • References (19)
  • 叶明宝, 桂佳梅, 燕群峰, 等. CSEA联合闭孔神经阻滞麻醉下应用TURBT治疗NMIBC的临床分析[J]. 实用癌症杂志, 2017, 32(4): 688-689.
    杨定清, 钱红娣, 简金金. 腰-硬联合麻醉或全身麻醉下经尿道电切术治疗浅表性膀胱侧壁肿瘤的有效性和安全性比较[J]. 中国肿瘤临床与康复, 2018, 25(10): 1182-1184.
    徐丁滔, 孔宁, 吕欣. 全身麻醉和腰-硬联合麻醉对老年下肢骨折手术患者认知功能的影响[J]. 临床骨科杂志, 2018, 21(2): 218-220
    郭善斌, 田悦. 0.125%罗哌卡因和0.1%左旋布比卡因复合舒芬太尼用于经尿道前列腺电切术后硬膜外镇痛的效果比较[J]. 实用药物与临床, 2013, 16(4): 301-304.
    MADDALI P, MOISI M, PAGE J, et al. Anatomical complications of epidural anesthesia: a comprehensive review[J]. Clin Anat, 2017, 30(3): 342-346.
    SCHÄFFER D P H, DE ARAUJO N L L C, OTERO A R, et al. Cardiorespiratory effects of epidural anesthesia using lidocaine with morphine or dexmedetomidine in capuchin monkeys(Sapajus sp. )undergoing bilateral tubal ligation surgery, anesthetized with isoflurane[J]. J Med Primatol, 2017, 46(6): 311-319.
    苏艺峰. 腰-硬联合麻醉与持续硬膜外麻醉在全子宫切除术中的应用效果[J]. 河北医学, 2017, 23(1): 75-78.
    舒家云. 罗哌卡因与左旋布比卡因在腹部手术腰-硬联合麻醉中的应用效果比较[J]. 实用临床医药杂志, 2015, 19(E01): 51-52

    , 54.
    张莉红. 罗哌卡因和布比卡因对腰-硬联合麻醉剖宫产产妇血流动力学的影响[J]. 中国妇幼保健, 2017, 32(17): 4275-4277.
    刘世忠, 蔡高杰, 刘建明. 等效剂量罗哌卡因和布比卡因蛛网膜下腔阻滞在老年前列腺增生患者经尿道前列腺电切术中的应用观察[J]. 山东医药, 2015, 55(19): 83-85.
    李彦新. 布比卡因和罗哌卡因在瘢痕子宫剖宫产术中的应用对比[J]. 现代妇产科进展, 2017, 26(4): 300-301.
    OZKIRIS M, KAPUSUZ Z, SAYDAM L. Comparison of ropivacaine, levobupivacaine and lidocaine in the management of post-tonsillectomy pain[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(12): 1831-1834.
    吴双, 张国艳. 等效剂量罗哌卡因与布比卡因腰麻对老年TURP 患者术后呼吸功能影响的比较[J]. 山东医药, 2015, 55(30): 78-79
    赵陆红. 罗哌卡因与左旋布比卡因在剖宫产术腰-硬联合麻醉中的比较[J]. 中外女性健康研究, 2019(15): 37-37, 39.
    李占兵, 石军, 李菊. 罗哌卡因与左旋布比卡因用于剖宫产手术腰-硬联合麻醉的临床效果[J]. 医学临床研究, 2019, 36(3): 472-473

    , 476.
    龚磊. 探讨罗哌卡因与左旋布比卡因用于腹部手术腰-硬联合麻醉对比[J]. 医药前沿, 2018, 8(8): 193-193.
    蒋轶岭. 左旋布比卡因与罗哌卡因在下腹手术腰-硬联合麻醉的比较[J]. 中国继续医学教育, 2017, 9(24): 74-75.
    马黎明. 左旋布比卡因与罗哌卡因在硬膜外麻醉下阑尾切除术中的效果比较[J]. 中国社区医师, 2017, 33(14): 65-66.
    张伟, 陈其超, 冯欢, 等. 经尿道等离子前列腺剜除术与经尿道前列腺电切术治疗良性前列腺增生症的临床疗效比较[J]. 东南国防医药, 2019, 21(6): 649-651.
    • Related Articles

  • Related Articles

    [1]LI Meng, ZHANG Wenfeng, WU Wenfeng, JIANG Tao, WEN Lili. Transurethral green laser enucleation of prostate versus transurethral vaporization of prostate in treatment of severe benign prostatic hyperplasia[J]. Journal of Clinical Medicine in Practice, 2023, 27(2): 113-116, 121. DOI: 10.7619/jcmp.20214804
    [2]JIAO Xiaohong, YANG Danfeng, SONG Guojun. Effect of general anesthesia versus combined spinal-epidural anesthesia on cognitive functionin elderly patients with lower extremity fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 79-82. DOI: 10.7619/jcmp.201911022
    [3]ZHOU Meilan. Effect of general anesthesia and combined spinal-epidural anesthesia on short-term cognitive function in the elderly patients in the department of orthopedics[J]. Journal of Clinical Medicine in Practice, 2018, (1): 91-93. DOI: 10.7619/jcmp.201801028
    [4]LYU Yan, WU Yushu, GAO Feng. Effect of respiratory training on respiratory function and life quality of patients with advanced lung cancer during chemotherapy[J]. Journal of Clinical Medicine in Practice, 2017, (6): 33-35. DOI: 10.7619/jcmp.201706010
    [5]WANG Kuan, LIU Yanhong, YANG Huiwei. Influence of naloxone on respiratory function and blood gas analysis indexes of patients with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2017, (5): 46-48. DOI: 10.7619/jcmp.201705013
    [6]ZHAO Jun, LI Yongcheng. Effect of doxofylline combined with respiratory function training on the clinical efficacy, pulmonary function and blood related indexes of patients with COPD induced by emphysema[J]. Journal of Clinical Medicine in Practice, 2017, (3): 19-21,28. DOI: 10.7619/jcmp.201703006
    [7]JIANG Yajuan, WANG Yue, LIU Jiang. Effect of respiratory muscle evaluation and training on postoperative respiratory function of patients in department of thoracic surgery[J]. Journal of Clinical Medicine in Practice, 2016, (12): 70-72. DOI: 10.7619/jcmp.201612022
    [8]WANG Shuying, LIU Lei. Effect of ulinastatin on respiratory function and inflammatory stress of patients with severe pneumonia[J]. Journal of Clinical Medicine in Practice, 2016, (7): 34-37. DOI: 10.7619/jcmp.201607010
    [9]ZHU Liping, PENG Lifang. Effect of respiratory exercise on pulmonary function in patients with COPD in stable period[J]. Journal of Clinical Medicine in Practice, 2015, (18): 19-21. DOI: 10.7619/jcmp.201518007
    [10]DENG Pan, YUAN Hui. The efficacy observation of respiratory function training for lung cancer patients during perioperation[J]. Journal of Clinical Medicine in Practice, 2014, (8): 38-40. DOI: 10.7619/jcmp.201408013

Catalog

    Get Citation
    PDF
    XML
    Article views (237) PDF downloads (8) Cited by()
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return