Singh Vishwajeet, Sinha Rahul Janak, Sankhwar S N, Malik Anita
Department of Urology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India.
Urol Int. 2011;87(3):293-8. doi: 10.1159/000329796. Epub 2011 Sep 14.
A prospective randomized study was executed to compare the surgical parameters and stone clearance in patients who underwent percutaneous nephrolithotomy (PNL) under combined spinal-epidural anesthesia (CSEA) versus those who underwent PNL under general anesthesia (GA).
Between January 2008 to December 2009, 64 patients with renal calculi were randomized into 2 groups and evaluated for the purpose of this study. Group 1 consisted of patients who underwent PNL under CSEA and Group 2 consisted of patients who underwent PNL under GA. The operative time, stone clearance rate, visual pain analog score, mean analgesic dose and mean hospital stay were compared amongst other parameters.
The difference between visual pain analog score after the operation and the dose of analgesic requirement was significant on statistical analysis between both groups.
PNL under CSEA is as effective and safe as PNL under GA. Patients who undergo PNL under CESA require lesser analgesic dose and have a shorter hospital stay.
进行一项前瞻性随机研究，比较在腰麻 - 硬膜外联合麻醉（CSEA）下接受经皮肾镜取石术（PNL）的患者与在全身麻醉（GA）下接受 PNL 的患者的手术参数和结石清除率。
在2008年1月至2009年12月期间，将64例肾结石患者随机分为两组，为本研究目的进行评估。第1组由在 CSEA 下接受 PNL 的患者组成，第2组由在 GA 下接受 PNL 的患者组成。比较手术时间、结石清除率、视觉模拟疼痛评分、平均镇痛剂量和平均住院时间等参数。
两组术后视觉模拟疼痛评分与镇痛需求剂量之间的差异在统计学分析上具有显著性。
CSEA 下的 PNL 与 GA 下的 PNL 一样有效和安全。在 CESA 下接受 PNL 的患者需要的镇痛剂量更少，住院时间更短。
