用两种麻醉方法对进行髋部手术的老年患者实施麻醉的效果对比

发布时间：2018-03-29 18:14

本文选题：髋部手术　切入点：老年患者　出处：《当代医药论丛》2016年18期

【摘要】：目的:对比用腰硬联合麻醉法和静吸复合麻醉法对进行髋部手术的老年患者实施麻醉的临床效果。方法:对2013年4月~2015年8月期间在我院进行髋部手术的106例老年患者的临床资料进行回顾性研究。我们将这106例患者随机分为观察组和对照组,每组各有53例患者。在这两组患者进行手术期间,我院对观察组患者进行腰硬联合麻醉,对对照组患者进行静吸复合麻醉。手术结束后,比较两组患者麻醉的优良率、术中的出血量、血氧饱和度、心率和其手术的用时。结果:两组患者麻醉的优良率和术中的心率相比差异无统计学意义(P0.05)。观察组患者术中的出血量明显少于对照组患者,其手术的用时明显短于对照组患者,其术中的血氧饱和度明显高于对照组患者,差异有统计学意义(P0.05)。结论:用腰硬联合麻醉法和静吸复合麻醉法对进行髋部手术的老年患者实施麻醉均可取得理想的效果。但使用腰硬联合麻醉法对进行髋部手术的老年患者实施麻可有效地缩短其手术的用时,减少其术中的出血量,维持其术中的血氧饱和度。因此,腰硬联合麻醉法可作为进行髋部手术的老年患者首选的麻醉方法。
[Abstract]:Objective: to compare the clinical effects of combined spinal-epidural anesthesia and combined intravenous anesthesia on elderly patients undergoing hip surgery. Methods: 106 elderly patients undergoing hip surgery in our hospital from April 2013 to August 2015 were enrolled in this study. We randomly divided the 106 patients into observation group and control group. There were 53 patients in each group. During the operation, the patients in the observation group were treated with combined spinal-epidural anesthesia, and the patients in the control group were treated with intravenous anesthesia and combined anesthesia. After the operation, the excellent and good rates of anesthesia between the two groups were compared. Results: there was no significant difference between the two groups in the excellent and good rate of anesthesia and the heart rate during operation (P 0.05). The amount of intraoperative bleeding in the observation group was significantly lower than that in the control group. The duration of operation was significantly shorter than that of the control group, and the blood oxygen saturation during the operation was significantly higher than that in the control group. The difference was statistically significant (P 0.05). Conclusion: combined spinal-epidural anesthesia and combined intravenous anesthesia can achieve satisfactory results for elderly patients undergoing hip surgery, but combined spinal-epidural anesthesia can be used for hip hand anesthesia. Anesthesia can effectively shorten the duration of the operation in elderly patients undergoing surgery. Therefore, combined spinal-epidural anesthesia can be used as the first choice for the elderly patients undergoing hip surgery.
【作者单位】：漳浦县医院;
【分类号】：R614

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