摘要
目的探讨腰-硬联合麻醉(CSEA)用于老年全髋关节置换术的可行性及安全性。方法 58例老年全髋关节置换术患者随机分为腰-硬联合麻醉组(CSEA组)和连续硬膜外麻醉组(CEA组),每组各29例。分别监测麻醉前(T0)、麻醉后15min(T1)、30min(T2)、60min(T3)、90min(T4)及120min(T5)的收缩压(SBP)、舒张压(DBP)、心率(HR)和血氧饱和度(SpO2)变化。记录麻醉起效时间及手术时间,评价麻醉效果。结果两组SBP和DBP均较麻醉前显著下降(P<0.01),两组间各时间点相比,差异无显著性(P>0.05)。CEA组和CSEA组麻醉起效时间分别为(5.1±1.5)min和(12.9±3.8)min,二者差异有统计学意义(P<0.05)。两组手术时间差异无统计学意义(P>0.05)。CEA组和CSEA组麻醉优良率分别为86.21%和100%,CSEA组明显优于CEA组(P<0.05)。结论腰-硬联合麻醉用于老年全髋关节置换术,起效迅速,阻滞完善,肌松满意,并发症少,血流动力学平稳,可达到安全可靠的麻醉效果。
Objective To investigate the combined spinal-epidural anesthesia（CSEA） for total hip arthroplasty elderly feasibility and safety.Methods Totally 58 elderly patients with total hip arthroplasty were randomly divided into combined spinal-epidural anesthesia（CSEA group） and continuous epidural anesthesia group（CEA group）,29 patients in each group.Were monitored before anesthesia（T0）,after anesthesia 15min（T1）,30min（T2）,60min（T3）,90min（T4） and 120min（T5） of the systolic blood pressure（SBP）,diastolic blood pressure（DBP）,heart rate（HR） and oxygen saturation（SpO2） changes.Record time of anesthesia and operation time of onset,evaluation of anesthetic effects.Results SBP and DBP were significantly decreased than those before anesthesia（P0.01）,compared between the two groups at each time point,the difference was not significant（P0.05）.CEA group and the CSEA group The onset time was（5.1±1.5） min and（12.9±3.8） min,the difference was significant（P0.05）.Operation time between the two groups was not significant（P0.05）.Anesthesia group and the CSEA group CEA were 86.21% good and 100%,CSEA group was significantly better than the CEA group（P0.05）.Conclusions The combined spinal-epidural anesthesia for total hip arthroplasty elderly,rapid onset of complete block,muscle relaxation results,less complications,hemodynamic stability,can achieve safe and reliable anesthesia.
出处
《医药论坛杂志》
2011年第3期36-37,40,共3页
Journal of Medical Forum
