Abstract：Objective To observe the effect of transurethral bipolar plasma prostatectomy under combined spinalepidural anesthesia.Methods A total of 60 cases of patients undergoing transurethral bipolar plasma prostatectomy in our hospital from March 2018 to June 2019 were selected and divided into the combined spinal-epidural anesthesia group (n=30) and the continuous epidural anesthesia group (n=30) according to the random number table method.Patients in the continuous epidural anesthesia group received continuous epidural anesthesia, patients in the combined spinal epidural anesthesia group received combined spinal epidural anesthesia.The block plane scores, onset time of anesthesia, perfect time of block and anesthetic drugs dosages, adverse reactions of the two groups were statistically analyzed.Results The onset time of anesthesia, perfect time of block of the combined spinal-epidural anesthesia group were significantly shorter than those of the continuous epidural anesthesia group (P＜0.05), the dosage of anesthetics of the combined spinal-epidural anesthesia group was significantly less than that of the continuous epidural anesthesia group, the differences were statistically significant (P＜0.05).But the difference of score of block plane between the two groups was not significant (P＞0.05).The total incidence of adverse reactions of the combined spinal-epidural anesthesia group was 10.0% (3/30), which was significantly lower than 30.0% (9/30) of the continuous epidural anesthesia group,the difference was statistically significant (P＜0.05).Conclusion The effect of combined spinal epidural anesthesia is better than that of continuous epidural anesthesia.
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