老年全髋置换术全麻和腰硬联合麻醉对术后麻醉恢复效果的影响

发布时间：2018-01-14 01:18

本文关键词：老年全髋置换术全麻和腰硬联合麻醉对术后麻醉恢复效果的影响　出处：《河南外科学杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的对比分析全麻、腰硬联合麻醉对全髋置换术老年患者术后麻醉恢复效果的影响。方法随机将60岁以上行全髋关节置换术的70例患者分为2组,每组35例。观察组采用腰硬联合麻醉,对照组进行全麻。比较2组手术时间、出血量、输血量、输液量、术后呼吸恢复时间、拔管时间、睁眼时间及定向力恢复时间及拔管时骚动发生情况。结果 2组手术时间、出血量、输血量及输液量方面对比,差异无统计学意义(P0.05)。观察组术后呼吸恢复时间、拔管时间、睁眼时间、定向力恢复时间及拔管时躁动发生率均显著优于对照组,差异有统计学意义(P0.05)。结论腰硬联合麻醉用于老年全髋置换术,利于术后麻醉恢复,提高苏醒质量,但应严格掌握适应证。
[Abstract]:Objective to compare and analyze the effect of general anesthesia and combined spinal-epidural anesthesia on the recovery of postoperative anesthesia in elderly patients undergoing total hip replacement. Methods 70 patients over 60 years old who underwent total hip replacement were randomly divided into two groups. 35 cases in each group were treated with combined spinal-epidural anesthesia and general anesthesia in the control group. The operation time, blood loss, blood transfusion, transfusion volume, postoperative respiratory recovery time and extubation time were compared between the two groups. Results the time of operation, the amount of blood loss, the amount of blood transfusion and the volume of transfusion were compared between the two groups. There was no significant difference between the two groups (P 0.05). The time of postoperative respiratory recovery, extubation, eye opening, recovery of directional force and restlessness during extubation in the observation group were significantly better than those in the control group. Conclusion combined spinal-epidural anesthesia for the elderly total hip replacement is beneficial to the recovery of anesthesia and improve the quality of recovery, but the indications should be strictly grasped.
【作者单位】：河南新安县人民医院麻醉科;
【分类号】：R614
【正文快照】： 髋关节置换术是缓解关节疼痛、矫正畸形、恢复和改善关节的运动功能的有效手段之一。老年人因器官功能减退,手术耐受力差,行全髋关节置换术存在较高的手术和麻醉风险,合理选择麻醉方式是髋关节置换术成功实施的关键之一[1]。2013-06—2015-06期间,我院对70例实施全髋关节置换

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