經(jīng)尿道前列腺電切術(shù)后高齡患者鎮(zhèn)痛局麻藥濃度比較
發(fā)布時(shí)間:2018-04-02 10:26
本文選題:前列腺電切術(shù) 切入點(diǎn):術(shù)后鎮(zhèn)痛 出處:《中國(guó)老年學(xué)雜志》2017年17期
【摘要】:正老年人生理變化的特征是組織、器官和功能的退行性改變,心肺儲(chǔ)備能力下降。良性前列腺增生(BPH)是老年男性常見疾病,而經(jīng)尿道前列腺電切術(shù)(TURP)是目前治療BPH的金標(biāo)準(zhǔn)[1]。維持術(shù)中循環(huán)穩(wěn)定至關(guān)重要,但術(shù)后鎮(zhèn)痛不容忽視。尤其術(shù)后易發(fā)生膀胱痙攣,可能引發(fā)術(shù)后出血及心腦血管意外。研究表明,術(shù)后硬膜外鎮(zhèn)痛可獲得滿意效果[2]。良好的鎮(zhèn)痛方法可減少圍術(shù)期患者的應(yīng)激反應(yīng),通過減慢心率,從而減
[Abstract]:The physiological changes in the elderly are characterized by degenerative changes in tissues, organs and functions, and decreased cardiopulmonary reserve. BPH is a common disease in older men. Transurethral resection of the prostate (TURP) is the gold standard for the treatment of BPH. It is very important to maintain the stability of intraoperative circulation, but postoperative analgesia should not be ignored. It is possible to cause postoperative hemorrhage and cardiovascular and cerebrovascular accident. Studies show that postoperative epidural analgesia can achieve satisfactory results [2] .A good analgesia method can reduce the stress response of perioperative patients by slowing down the heart rate, thereby reducing the effect of epidural analgesia.
【作者單位】: 洪澤縣醫(yī)院麻醉科;
【分類號(hào)】:R614
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1 朱曉昌;;右美托咪啶在前列腺電切術(shù)中的臨床應(yīng)用[J];中國(guó)醫(yī)藥導(dǎo)刊;2014年07期
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