The Comparison of Ultra-sound Guided Thoracic Paravertebral Nerve Block and Combined Spinal-epidural Anesthesia in Percutaneous Nephrolithotomy
10.3969/j.issn.1005-6483.2017.10.023
- VernacularTitle:超声引导下胸椎旁神经阻滞与腰硬联合麻醉在经皮肾镜碎石术中的临床疗效比较
- Author:
Lei LIU
1
;
Jingwei LIU
;
Siwei PENG
Author Information
1. 433199,湖北省潜江市中心医院麻醉科
- Keywords:
ultra-sound guided;
thoracic paravertebral nerve block;
combined spinal-epidural anesthesia;
percutaneous nephrolithotomy
- From:
Journal of Clinical Surgery
2017;25(10):785-787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the anesthetic effect of ultra-sound guided thoracic paravertebral nerve block and combined spinal-epidural anesthesia in percutaneous nephrolithotomy.Methods For 80 patients in our hospital scheduled for percutaneous nephrolithotomy were randomly divided into two groups with 40 cases each.The patients in group GT were given ultra-sound guided thoracic paravertebral nerve block.And the patients in group G were given combined spinal-epidural anesthesia.Observe and compare the aesthesia effects,the hemodynamic changes during body change in perioperative period,adverse reactions after surgery and complications of two groups.Results Anesthetic effects were not significantly different between two groups (P ＞ 0.05).During body change in perioperative period,the MAP and HR of G group were significantly lower than those of GT group.They had significantly difference (P ＜ 0.05).The adverse reactions after surgery and complications of two group were significantly different between two groups(P ＜0.05).The number of patients who have headache and urinary retention are apparently more group G than in group GT.Conclusion Ultra-sound guided thoracic paravertebral nerve block for percutaneous nephrolithotomy has significant anesthetic effect.Hemodynamics is stable during body change in perioperative period.And there is less complications after surgery.
