Comparison of effects of combined spinal and epidural anesthesia versus total intravenous anesthesia in percutaneous nephroscope lithoipsy

Abstract

Objective To compare the effects of combined spinal and epidural anesthesia (CSEA) and total intravenous anesthesia (TIVA) in percutaneous nephroscope lithoipsy (PCNL). Methods Sixty patients who underwent PCNL in Xuchang Central Hospital from June 2017 to March 2018 were selected as the study objects. All the patients were randomly divided into control group and study group, with 30 cases in each group. Patients in the control group were anesthetized with TIVA, and patients in the study group were anesthetized with CSEA. Before anesthesia, at 10 minutes, 20 minutes, 30 minutes and 60 minutes after operation started, and after operation, the heart rate, blood oxygen saturation and blood pressure levels of the patients in the two groups were compared and analyzed. The occurrence of adverse reactions, such as dyspnea, delayed recovery and hypothermia, were recorded and analyzed. The recovery time, total block time and onset time of anesthesia were observed. Results The recovery time and the onset time of anesthesia in the study group were (14.90±1.90) min, (25.54±7.90)s, respectively, which were significantly shorter than the (19.43±2.89)min, (38.10±10.09)s in the control group (P 0.05). The blood pressure and heart rate of the study group were lower than those of the control group at 10 min, 20 min, 30 min and 60 min after operation started (P<0.05). The incidence of adverse reactions in the study group was 16.67%(5/30), which was significantly lower than the 50.00%(15/30) in the control group (P<0.05). Conclusions CSEA can effectively reduce the incidence of postoperative adverse reactions, and shorten onset time of anesthesia, with high safety. Key words: Anesthetics; Combined spinal and epidural anesthesia; Anesthesia, intravenous; Percutaneous nephrolithotripsy