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目的探讨气管内麻醉联合肌松药预防经尿道膀胱肿瘤切除术闭孔神经反射的效果。方法总结连州市人民医院收治的78例经尿道膀胱肿瘤切除术治疗的初发非浸润性膀胱癌患者的闭孔神经反射和麻醉相关情况。结果 78例患者平均手术时间为(49.58±8.32)分,自主呼吸恢复时间为(2.02±0.88)分,意识恢复时间为(5.30±1.07)分,气管内麻醉联合肌松药预防经尿道膀胱肿瘤切除术闭孔神经反射有效率为98.72%,明显优于传统的闭孔神经局部阻滞方式。结论气管内麻醉联合肌松药可有效预防经尿道膀胱肿瘤切除术闭孔神经反射,安全可靠,具有一定的临床应用价值。
Objective To investigate the effect of intratracheal anesthesia combined with muscle relaxant in the prevention of obturator nerve reflex through transurethral resection of bladder tumor. Methods The obstruction and obstruction of obturator nerve in 78 cases of primary non-invasive bladder cancer treated by transurethral resection of the bladder in Lianzhou People’s Hospital were summarized. Results The average operation time of 78 patients was (49.58 ± 8.32) points, spontaneous breathing recovery time was (2.02 ± 0.88) minutes, consciousness recovery time was (5.30 ± 1.07) minutes. Tracheal anesthesia combined with muscle relaxant to prevent transurethral bladder cancer Obturator obturator nerve reflex effective rate was 98.72%, significantly better than the traditional obturator nerve local block. Conclusion Tracheal anesthesia combined with muscle relaxants can effectively prevent transurethral resection of the obturator nerve reflex, safe and reliable, and has a certain clinical value.