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目的:评价小计量布比卡因复合芬太尼腰麻在老年患者经尿道前列腺电切术(TURP)中的麻醉效果及其副作用。方法:选择行TURP男性患者40例,随机分为A组布比卡因-芬太尼组和B组布比卡因组。实施腰麻,观察并记录麻醉效果评价和不良反应。结果:所有患者镇痛完善。B组副作用发生率显著高于A组。结论:小剂量布比卡因复合芬太尼腰麻能完全满足老年患者TURP的麻醉要求,且副作用明显减少。
OBJECTIVE: To evaluate the anesthetic effects and side effects of subtotal bupivacaine and fentanyl in the treatment of elderly patients undergoing transurethral resection of the prostate (TURP). Methods: Forty male patients with TURP were randomly divided into bupivacaine-fentanyl group A and bupivacaine group B. The implementation of spinal anesthesia, observation and record anesthesia evaluation and adverse reactions. Results: All patients had good analgesia. The incidence of side effects in group B was significantly higher than that in group A. Conclusion: A small dose of bupivacaine combined with fentanyl and lumbar anesthesia can completely meet the anesthetic requirements of elderly patients with TURP, and the side effects were significantly reduced.