Maroof M, Khan R M, Bhatti T H, Hamalawy H, Siddique M K
Department of Anesthesiology, King Fahad National Guard Hospital, Kingdom of Saudi Arabia.
J Stone Dis. 1993 Oct;5(4):240-3.
This study was designed to evaluate the quality of sedation/analgesia and patient cooperation provided by Patient Controlled Sedation & Analgesia (PCSA) using propofol and fentanyl (Group II) when compared with anesthetist administered propofol/fentanyl (Group I) in 32 ASA I & II patients undergoing ESWL of renal or ureteric stones. Demographics of the patients and the duration of ESWL were similar in both groups. Dose of propofol/fentanyl used during the procedure was significantly higher in Group I patients as compared to group II (p less than 0.05). Interpatient variability in propofol requirement was reflected in both groups in the lack of significant correlation between propofol dose and procedure duration. PCSA provided a marginally higher degree of patient and surgeon satisfaction scores as compared to anesthetist administered propofol/fentanyl. Quick recovery was more consistent in the PCSA group as compared to group I patients.
本研究旨在评估32例接受肾或输尿管结石体外冲击波碎石术（ESWL）的美国麻醉医师协会（ASA）I级和II级患者中，使用丙泊酚和芬太尼的患者自控镇静镇痛（PCSA，第二组）与麻醉医生给予丙泊酚/芬太尼（第一组）相比，镇静/镇痛质量和患者配合情况。两组患者的人口统计学特征和ESWL持续时间相似。与第二组相比，第一组患者在手术过程中使用的丙泊酚/芬太尼剂量显著更高（p<0.05）。两组中丙泊酚需求量的患者间变异性体现在丙泊酚剂量与手术持续时间之间缺乏显著相关性。与麻醉医生给予丙泊酚/芬太尼相比，PCSA提供的患者和外科医生满意度评分略高。与第一组患者相比，PCSA组的快速恢复更为一致。
