Analysis of the application effect of CSEA and TIVA anesthesia in urology laser lithotripsy
CSEA与TIVA麻醉方式在泌尿科激光碎石手术中的应用效果分析

摘要

目的 研究分析泌尿科激光碎石手术中CSEA与TIVA麻醉方式的表现。方法 本次实验跨越2020年8月至2021年8月这一时间段，研究人员对100例泌尿科接受激光碎石手术的患者进行研究。研究人员在本次实验中按照双盲对照原则对所选患者实施分组，对照组所选50例患者采用腰硬联合麻醉，实验组所选50例患者采用全凭静脉麻醉，记录对照组及实验组患者麻醉前及麻醉后半小时心率、血氧饱和度及平均动脉压、麻醉费用、患者不适出现概率、体动发生率、进镜困难概率，并加以分析比较。结果 在麻醉前，对照组及实验组患者心率、血氧饱和度及平均动脉压之间差异微小，（p＞0.05），在麻醉后半小时，对照组及实验组患者相关数据之间均表现出了较大的差距，（p＜0.05）；（950.7±84.9）元及（1576.2±149.3）元分别为对照组及实验组患者麻醉费用，分析相关数据，差异较大，（p＜0.05）；对照组及实验组所选患者在不适出现概率、体动发生率、进镜困难概率方面也存在着较为明显的差距，（p＜0.05）。结论 在泌尿科激光碎石手术中全凭静脉麻醉有着不俗的表现，效果远远优于腰硬联合麻醉。

Abstract

Objective: To study and analyze the performance of CSEA and TIVA anesthesia in laser lithotripsy in urology.
Methods: This experiment spanned the period from August 2020 to August 2021. The researchers studied 100 patients who underwent laser lithotripsy in the urology department. In this experiment, the researchers divided the selected patients into groups according to the principle of double-blind control. The control group selected 50 patients under combined spinal-epidural anesthesia, and the experimental group selected 50 patients under total intravenous anesthesia. The control group and the experiment were recorded. The heart rate, blood oxygen saturation and mean arterial pressure, cost of anesthesia, the incidence of patient discomfort, the incidence of body movement, and the probability of difficulty in entering the lens were analyzed and compared in the group of patients before and half an hour after anesthesia.
Results: Before anesthesia, the difference in heart rate, blood oxygen saturation and mean arterial pressure between the control group and the experimental group was slight, (p>0.05). Half an hour after the anesthesia, the control group and the experimental group had similar data. Shows a large gap, (p<0.05); (950.7±84.9) yuan and (1576.2±149.3) yuan are the anesthesia costs of the control group and the experimental group, respectively. Analysis of relevant data shows that the difference is large, (p＜0.05) ); There is also a significant gap between the control group and the experimental group in the probability of discomfort, the incidence of body movement, and the probability of difficulty in getting into the lens, (p<0.05).
Conclusion  : All-intravenous anesthesia has a good performance in laser lithotripsy in urology, and the effect is far better than combined spinal-epidural anesthesia.