腰硬联合麻醉在老年人股骨粗隆内固定中的应用探讨

发布时间：2018-01-13 14:01

本文关键词：腰硬联合麻醉在老年人股骨粗隆内固定中的应用探讨　出处：《中国实用医药》2016年03期 　论文类型：期刊论文

【摘要】：目的研究探讨腰硬联合麻醉在老年人股骨粗隆内固定中的应用价值。方法 50例老年股骨粗隆间骨折手术患者,随机分为观察组与对照组,各25例。对照组采用硬膜外麻醉,观察组采用腰硬联合麻醉。观察两组患者的麻醉前后收缩压、舒张压及心率的变化情况,比较其肌松效果、不良反应情况、麻醉起效时间及用药量。结果麻醉后,两组患者收缩压、舒张压与麻醉前比较,差异无统计学意义(P0.05);观察组麻醉用药量及麻醉起效时间明显少于对照组,肌松效果明显优于对照组,不良反应情况少于对照组,差异具有统计学意义(P0.05)。结论对老年股骨粗隆间骨折手术患者采用腰硬联合麻醉,能显著减少麻醉用药量,加快麻醉起效时间,增加老年患者手术的安全性,达到良好的麻醉效果,值得在临床中推广应用。
[Abstract]:Objective to explore the application value of combined spinal epidural anesthesia in elderly patients with femoral intertrochanteric fracture internal fixation. Methods 50 cases of femoral intertrochanteric fracture surgery were randomly divided into observation group and control group, 25 cases in each group. The control group was treated with epidural anesthesia, the observation group with combined spinal epidural anesthesia were observed before and after anesthesia in two. Systolic blood pressure, diastolic blood pressure and heart rate changes, the muscle relaxation effect, adverse reaction, the onset time of anesthesia and dosage. Results after anesthesia, two patients with systolic blood pressure, diastolic blood pressure and before anesthesia, the difference was not statistically significant (P0.05); the observation group anesthesia dose and the onset of anesthesia the time was significantly less than the control group, the effect of muscle relaxation was significantly better than the control group, adverse reactions were less than the control group, the difference was statistically significant (P0.05). Conclusion patients with combined spinal epidural anesthesia for elderly femoral intertrochanteric fracture, significantly To reduce the dosage of anesthesia, speed up the onset time of anesthesia, increase the safety of the operation of the elderly patients and achieve good anesthetic effect, it is worth popularizing in clinical practice.

【作者单位】：江苏省沭阳县中心医院;
【分类号】：R614
【正文快照】： 本研究对老年股骨粗隆间骨折手术患者采用腰硬联合麻醉,并与采用硬膜外麻醉的患者相对照,观察比较其麻醉效果及各项指标,现报告如下。1资料与方法1.1一般资料选择50例2012年8月~2014年8月在本院接受治疗的老年股骨粗隆间骨折手术患者作为研究对象,随机分为观察组与对照组,各25

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