老年患者全髋置换术46例的麻醉临床观察

发布时间：2018-07-02 21:06

本文选题：老年患者 + 全髋置换术　；参考：《大家健康(学术版)》2016年06期

【摘要】：目的:观察老年患者在全髋置换术中采用不同麻醉方法的临床效果。方法:取2015年1月~2015年12月之间于我院行接受治疗的髋关节损伤患者46例,将其随机均分为两组,观察组采用腰硬联合阻滞麻醉,对照组采用硬膜外麻醉,记录并对比两组的麻醉情况与效果。结果:观察组的硬膜外用药剂量少于对照组,麻醉阻滞完善时间和麻醉起效时间短于对照组,P0.05;观察组麻醉效果优良率为100%,高于对照组(82.6%),P0.05;观察组术中液体输入量为(740.52±245.85)ml,少于对照组,低血压发生率为13.0%,低于对照组(65.2%),P0.05。结论:老年患者在全髋置换术中采用腰硬联合阻滞麻醉能够缩短麻醉起效和阻滞完善时间,减少用药剂量,不良反应少,安全性高,麻醉效果显著优于硬膜外麻醉。
[Abstract]:Objective: to observe the clinical effect of different anesthetic methods in elderly patients undergoing total hip replacement. Methods: from January 2015 to December 2015, 46 patients with hip injury were randomly divided into two groups. The observation group was treated with combined spinal-epidural block and the control group with epidural anesthesia. Anaesthesia was recorded and compared between the two groups. Results: the dose of epidural administration in the observation group was less than that in the control group, and the time of improvement of anesthesia block and the onset time of anesthesia in the observation group were shorter than that in the control group (P0.05), the excellent and good rate of anesthetic effect in the observation group was 100, which was higher than that in the control group (82.6%), the volume of fluid in the observation group was (740.52 卤245.85) ml, which was less than that in the control group. The incidence of hypotension was 13.0, lower than that of the control group (65.2%) (P 0.05). Conclusion: combined spinal-epidural block anesthesia can shorten the time of onset and improvement of anesthesia, reduce the dosage of drugs, have less adverse reactions, have high safety, and the effect of anesthesia is significantly better than that of epidural anesthesia.
【作者单位】：河北省内丘县人民医院麻醉科;
【分类号】：R614

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