老年下肢骨折手术中小剂量轻比重腰麻-硬膜外联合麻醉的应用效果

发布时间：2018-03-13 04:21

本文选题：老年　切入点：下肢骨折　出处：《中外医疗》2017年12期 　论文类型：期刊论文

【摘要】：目的探讨老年下肢骨折手术中小剂量轻比重腰麻-硬膜外联合麻醉(CSEA)的应用效果。方法方便选取2012年5月—2016年7月该院收治的62例老年下肢骨折手术患者为研究对象,随机将入选病例均分为两组。实验组31例,患者术中行小剂量轻比重CSEA;对照组31例,患者术中行常规连续硬膜外麻醉。观察两组麻醉时间、麻醉效果及麻药用量。结果实验组患侧麻醉效果与对照组差异无统计学意义(P0.05)。实验组麻醉起效时间(22.4±6.1)s,麻醉完善时间(7.3±1.4)min,麻药用量(5.6±1.0)mg,健侧Bromage 2~3级显著减少,各项指标均显著优于对照组,差异有统计学意义(P0.05)。结论小剂量轻比重腰麻-硬膜外联合麻醉在老年下肢骨折手术中的应用效果理想,不仅起效迅速且麻药用量小、阻滞区域小,对降低老年麻醉手术风险具有积极意义。
[Abstract]:Objective to investigate the effect of low dose and light specific gravity spinal-epidural combined anesthesia in the operation of lower extremity fracture in the elderly. Methods 62 patients with lower extremity fracture treated in our hospital from May 2012 to July 2016 were selected as the research objects. All the patients were randomly divided into two groups: the experimental group (n = 31) and the control group (n = 31) received conventional continuous epidural anesthesia during operation. Results there was no significant difference in anaesthesia effect between the experimental group and the control group (P 0.05). The onset time of anesthesia in the experimental group was 22. 4 卤6. 1 minutes, the time of anesthetic improvement was 7. 3 卤1. 4 min, the dosage of anesthetic was 5. 6 卤1. 0 mg, and the level of Bromage 2 + 3 in the healthy side was significantly decreased. All the indexes were significantly better than those in the control group (P 0.05). Conclusion the low dose of light specific gravity spinal-epidural anesthesia is effective in the operation of fracture of lower extremities in the elderly, and it not only takes effect quickly, but also has a small amount of anesthetics and a small block area. It is of positive significance to reduce the risk of anesthesia surgery in the elderly.
【作者单位】：江苏省启东市人民医院麻醉科;
【分类号】：R614

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