CAJ | 학술논문

目的：探讨全身麻醉用于经尿道输尿管镜弹道碎石术（T U RL ）的麻醉效果。方法以2012年5月至2013年8月于本院行全身麻醉下T U RL治疗的80例患者作为治疗组，同期行尿道黏膜表面麻醉下T U RL治疗的80例患者作为对照组。比较两组患者麻醉诱导时间、麻醉维持时间、麻醉满意率、手术时间及麻醉效果。结果两组患者手术时间比较差异无统计学意义（P＞0．05），麻醉诱导时间、麻醉维持时间、麻醉满意率比较差异有统计学意义（ P＜0．05）；治疗组、对照组麻醉效果总优良率分别为93．7％、85．0％，组间比较差异有统计学意义（ P＜0．05）。结论在TURL治疗过程中采用全身麻醉，麻醉效果显著、起效快。
목적：탐토전신마취용우경뇨도수뇨관경탄도쇄석술（T U RL ）적마취효과。방법이2012년5월지2013년8월우본원행전신마취하T U RL치료적80례환자작위치료조，동기행뇨도점막표면마취하T U RL치료적80례환자작위대조조。비교량조환자마취유도시간、마취유지시간、마취만의솔、수술시간급마취효과。결과량조환자수술시간비교차이무통계학의의（P＞0．05），마취유도시간、마취유지시간、마취만의솔비교차이유통계학의의（ P＜0．05）；치료조、대조조마취효과총우량솔분별위93．7％、85．0％，조간비교차이유통계학의의（ P＜0．05）。결론재TURL치료과정중채용전신마취，마취효과현저、기효쾌。
Objective To investigate efficacy of general anesthesia in transurethral ureteroscopy lithotripsy (TURL) .Methods From May 2012 to August 2013 ,80 patients receiving TURL under general anesthesia were en-rolled as treatment group ,and 80 patients receiving TURL under surface anesthesia of urethral mucous membrane were enrolled as control group .Anesthesia induction time ,anesthesia duration ,anesthesia satisfaction rate ,operation time and anesthesia effects were compared between the two groups .Results There was no significant difference of operation time between the two groups (P>0 .05) ,but the differences of induction time ,anesthesia duration and an-esthesia satisfaction rate were significant (P<0 .05) .Overall fitness rates of anesthesia effects in treatment group and control group were 93 .7% and 85 .0% ,which were with significant difference (P<0 .05) .Conclusion Applica-tion of general anesthesia in TURL might be with effects of significant and fast effects .