比较在开展下肢骨折手术时采用两种麻醉方法的临床效果

发布时间：2018-05-17 00:17

本文选题：下肢骨折 + 腰-硬膜外麻醉　；参考：《深圳中西医结合杂志》2016年21期

【摘要】：目的:探讨分析在开展下肢骨折手术时采用两种麻醉方法的临床效果。方法:选择中山市三乡医院在2013年12月至2016年5月中治疗的48例下肢骨折术患者,依照随机原则将患者分为观察组和对照组,各24例,观察组患者在手术中利用腰-硬联合麻醉方式进行麻醉,而对照组患者在术前利用硬膜外麻醉方式进行麻醉,对比两组患者麻醉效果以及各个时间段患者机体临床指标改变情况。结果:观察组患者麻醉的总优良率高达100.00%,而对照组麻醉的总优良率为83.33%,观察组麻醉效果显著高于对照组,差异具有统计学意义(P0.05);麻醉前两组患者心率、舒张压和收缩压相比差异无统计学意义,术中所有患者临床指标相比麻醉前出现了显著改变(P0.05),且对照组波动范围大于观察组,差异具有统计学意义(P0.05),术后所有患者临床指标恢复正常。结论:在下肢骨折术中采用腰-硬膜外麻醉,有效提高患者术中麻醉效果,改善术中心率、血压等临床指标,相比于传统硬膜外麻醉临床效果更好,有效保证手术顺利安全进行,临床具有重要应用价值。
[Abstract]:Objective: to analyze the clinical effect of two anaesthesia methods in lower extremity fracture surgery. Methods: Forty-eight patients with lower extremity fracture treated in Sanxiang Hospital of Zhongshan City from December 2013 to May 2016 were randomly divided into observation group (n = 24) and control group (n = 24). The patients in the observation group were anesthetized by combined spinal-epidural anesthesia while the patients in the control group were anesthetized by epidural anesthesia before operation. To compare the effect of anesthesia and the changes of clinical indexes of patients in each time period. Results: the total excellent and good rate of anesthesia in the observation group was as high as 100.000.The total excellent and good rate of anesthesia in the control group was 83.33. The anesthetic effect in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P 0.05), the heart rate of the two groups before anesthesia was significantly higher than that in the control group. There was no significant difference between diastolic blood pressure and systolic blood pressure. There were significant changes in the clinical indexes of all patients during the operation compared with those before anesthesia (P 0.05), and the range of fluctuation in the control group was larger than that in the observation group. The difference was statistically significant (P 0.05), and all the clinical indexes returned to normal after operation. Conclusion: Spinal-epidural anesthesia in lower extremity fracture is more effective than traditional epidural anesthesia in improving the effect of anesthesia, heart rate, blood pressure and so on. It has important clinical value to ensure the smooth and safe operation.
【作者单位】：中山市三乡医院;
【分类号】：R614

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