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首页> 外文期刊>BJU international >Does anaesthetic technique affect the outcome after transurethral resection of the prostate?
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Does anaesthetic technique affect the outcome after transurethral resection of the prostate?

机译：麻醉技术是否会影响经尿道前列腺电切术的结果？

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OBJECTIVE: To determine if the choice of anaesthetic (spinal or general) has any influence on outcomes after transurethral resection of the prostate (TURP). PATIENTS AND METHODS: The records of 261 patients undergoing TURP between October 1995 and July 1998 were selected for a matched-cohort study. There were 87 complete datasets for cases performed under general anaesthesia and each was matched to two patients (174) from those undergoing spinal anaesthesia. The cohorts were matched by age, physical status score and date of operation. The primary outcome measures were length of stay in the recovery room and satisfaction with postoperative analgesia. RESULTS: There were no significant differences in major outcomes. There was a higher incidence of some minor adverse events in the group having general anaesthesia. Back pain was more common after spinal anaesthesia. CONCLUSION: Spinal anaesthesia was not associated with an improved outcome after TURP. The choice of anaesthesia should be made by the patient, surgeon and anaesthetist on the basis of the known risks of particular adverse events.
机译：目的：确定麻醉的选择（脊髓麻醉还是全身麻醉）对经尿道前列腺电切术（TURP）后的结局是否有影响。患者与方法：选择1995年10月至1998年7月间261例接受TURP的患者的记录进行配对队列研究。共有87份全麻下病例的完整数据集，每个数据集都与脊椎麻醉中的两名患者（174名）相匹配。通过年龄，身体状况评分和手术日期对队列进行匹配。主要的结局指标是在康复室的住院时间和术后镇痛的满意度。结果：主要结局无明显差异。全身麻醉组中一些轻微不良事件的发生率更高。脊柱麻醉后腰痛更为常见。结论：TURP后脊柱麻醉与改善预后无关。麻醉的选择应由患者，外科医生和麻醉师根据特定不良事件的已知风险进行。

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