髋关节置换术中全麻与腰硬联合麻醉的临床对比探究

发布时间：2017-12-31 11:12

本文关键词：髋关节置换术中全麻与腰硬联合麻醉的临床对比探究　出处：《中国处方药》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨全麻与腰硬联合麻醉应用在髋关节置换术中的效果。方法选取髋关节置换术患者60例,并随机分为对照组和研究组,各30例,对照组采取全麻,研究组采取腰硬联合麻醉,对比分析两组麻醉效果、不良反应发生率,以及麻醉前后舒张压、收缩压及心率变化。结果研究组麻醉优良率为96.67%,对照组则为80.00%,组间差异具有统计学意义(P0.05);研究组不良反应发生率明显低于对照组(P0.05);两组患者麻醉后收缩压、舒张压及心率均有明显变化(P0.05),但对照组波动幅度更为明显(P0.05)。结论髋关节置换术中实施腰硬联合麻醉处理,麻醉效果要明显优于全麻,安全性更高,值得借鉴。
[Abstract]:Objective to investigate the effect of combined general anesthesia and spinal-epidural anesthesia on hip arthroplasty. Methods 60 patients with hip arthroplasty were randomly divided into control group (n = 30) and control group (n = 30). Combined spinal-epidural anesthesia was used in the study group. The effect of anesthesia, the incidence of adverse reactions, and the changes of diastolic blood pressure, systolic blood pressure and heart rate before and after anesthesia were compared between the two groups. Results the excellent and good rate of anesthesia in the study group was 96.67%. In the control group, there was a significant difference between the two groups (P 0.05). The incidence of adverse reactions in the study group was significantly lower than that in the control group (P 0.05). After anesthesia, systolic blood pressure, diastolic blood pressure and heart rate were significantly changed in both groups (P 0.05). Conclusion the effect of combined spinal-epidural anesthesia in hip arthroplasty is better than that of general anesthesia, and the safety is higher.
【作者单位】：汉川市人民医院麻醉科;
【分类号】：R614
【正文快照】： 髋部骨折患者多为老年人,临床多采用髋关节置换术进行品处理。治疗。老年患者由于年龄较大,耐受力较低[1],选择何种麻醉方1.3观察指标式更为有效成为研究重点。为了进一步对比分析全麻与腰硬联观察记录两组患者麻醉效果、不良反应发生率,以及麻醉前合麻醉应用在髋关节置换术中

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