腰-硬麻醉在老年骨科手术患者中的应用研究

发布时间：2018-01-04 06:10

本文关键词：腰-硬麻醉在老年骨科手术患者中的应用研究　出处：《湖南师范大学学报(医学版)》2016年01期 　论文类型：期刊论文

【摘要】：目的 :对腰-硬麻醉在老年骨科手术患者中的应用进行分析。方法 :选取2011年2月2015年3月在我院进行骨科手术治疗的老年患者160例,依据麻醉方法进行分组,单纯组患者80例,进行单纯硬膜外麻醉;联合组患者80例,给予腰-硬联合麻醉,对两组患者的麻醉情况进行分析。结果 :对比两组患者的基本情况、麻醉前各项生命体征和ASA分级,无明显差异性,无统计学意义。单纯组患者用药后各项生命体征变化优越于联合组患者,差异性不明显,无统计学意义。联合组患者硬膜外用药总量、麻醉不良反应、患者对麻醉满意度、术中疼痛发生比例均显著优越于单纯组患者,差异性明显,具有统计学意义。两组患者均没有发生因麻醉措施不当导致严重不良后果发生。结论 :对于老年骨科手术患者给予腰-硬联合麻醉下进行手术治疗比单纯硬膜外麻醉下手术,术中疼痛发生比例较低,同时明显降低硬膜外用药总量,延长硬膜外用药时间,增加麻醉满意度,用药后各项生命体征相对平稳,安全性较高,同时患者保持术中清醒,能够对术中不良反应和不适症状,及时发现和进行处理。
[Abstract]:Objective: to analyze the application of spinal-epidural anesthesia in orthopaedic surgery for the elderly. Methods: 160 cases of elderly patients undergoing orthopaedic surgery in our hospital on February 2011 and March 2015 were selected. According to the method of anesthesia, 80 patients in the simple group were divided into two groups. 80 patients in the combined group were treated with combined spinal-epidural anesthesia. The anaesthesia of the two groups was analyzed. Results: the basic condition of the two groups, the vital signs before anesthesia and the ASA grading were compared. There was no significant difference, no statistical significance. The changes of vital signs in simple group were superior to those in combined group, the difference was not obvious and there was no statistical significance. The total amount of epidural drugs in combined group was higher than that in combined group. Adverse reactions of anesthesia, patients' satisfaction with anesthesia and the incidence of intraoperative pain were significantly superior to those of the simple group, and the difference was significant. Two groups of patients did not occur due to improper anesthetic measures resulting in serious adverse consequences. Conclusion:. For the elderly patients undergoing orthopedic surgery under combined spinal-epidural anesthesia than under epidural anesthesia alone. The incidence of intraoperative pain was low, and the total amount of epidural medication was significantly reduced, the duration of epidural administration was prolonged, and the satisfaction of anesthesia was increased. The vital signs were relatively stable and the safety was high. At the same time, patients remain awake during the operation, and can detect and deal with adverse reactions and symptoms in time.
【作者单位】：商洛市第二人民医院;
【分类号】：R614
【正文快照】： 骨折是老年患者最为常见的骨科疾病,主要致病因性,无统计学意义(P0.05)详见表1。素是因为老年患者因钙质摄入量少、吸收不好等多种因表1　对比两组患者的基本情况素,因此导致老年患者钙缺乏性骨质疏松,所以骨折高平均年龄性别(%)平均体重组别ASA分级发,本文中老年骨折患者骨

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