老年全髋关节置换术的麻醉处理

发布时间：2018-03-16 02:20

本文选题：老年全髋关节置换术　切入点：麻醉处理　出处：《中国实用医药》2014年03期 　论文类型：期刊论文

【摘要】：目的探讨老年全髋关节置换术的麻醉处理方式及效果。方法选取本院收治的96例行老年全髋关节置换术治疗的老年患者,随机将其分为观察组和对照组,各48例,给予对照组患者硬膜外麻醉,给予观察组患者腰硬膜联合麻醉,对两组患者的术中出血量、手术时间、感觉阻滞时间、阻滞完善时间、恢复痛觉时间进行对比。结果两组患者均取得良好的麻醉效果,两组患者的术中出血量及手术时间比较差异无统计学意义(P0.05),观察组患者的感觉阻滞时间、阻滞完善时间、恢复痛觉时间均明显优于对照组(P0.05)。结论给予老年全髋关节置换术患者硬膜外麻醉及腰硬膜联合麻醉均可取得良好的麻醉效果,但腰硬膜联合麻醉效果更为显著,值得临床推广和应用。
[Abstract]:Objective to investigate the anesthetic management and effect of total hip replacement in the elderly. Methods 96 elderly patients with total hip replacement were randomly divided into observation group and control group, 48 cases in each group. The patients in the control group were given epidural anesthesia, and the patients in the observation group were given combined spinal-epidural anesthesia. The amount of intraoperative bleeding, the time of operation, the time of sensory block, and the time of improvement of block were observed in both groups. Results there was good anaesthesia effect between the two groups. There was no significant difference in blood loss and operation time between the two groups (P 0.05). The sensory block time and the perfect time of block in the observation group were not significantly different from those in the control group, and there was no significant difference in the blood loss and operative time between the two groups. Conclusion epidural anesthesia and combined spinal-epidural anesthesia in elderly patients with total hip arthroplasty can achieve good anaesthesia effect, but the effect of spinal-epidural anesthesia is more significant. It is worth popularizing and applying in clinic.
【作者单位】：河南省安阳钢铁公司职工总医院手术室;
【分类号】：R614

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