摘要
目的探讨腰-硬联合麻醉用于老年患者下腹部及下肢手术的麻醉效果及安全性。方法 76例择期行下腹部或下肢手术的老年患者随机分为硬膜外麻醉组和腰-硬联合麻醉组,各38例,比较两组麻醉效果。结果腰-硬联合麻醉起效时间、麻醉平面固定时间以及硬膜外用药量明显少于硬膜外麻醉组,两组比较差异均有统计学意义(P<0.05)。但是两组麻醉前后呼吸、循环功能监测结果大体相当,差异均无统计学意义(P>0.05)。结论腰-硬联合麻醉用于老年患者下腹部及下肢手术,麻醉效果可靠,麻药用量少、安全性高,是最适宜老年患者的麻醉方式之一。
Objective To investigate effect and safety of spinal-epidural anesthesia for abdomen and lower limb surgery in elderly patients.Methods 76 cases of elderly patients undergoing abdominal or lower extremity surgery were randomly divided into the epidural anesthesia group and spinal-epidural anesthesia group,anesthetic effect was compared.Results In spinal-epidural anesthesia group,the onset time of anesthesia,fixed time and the amount of epidural medication was significantly less than the epidural anesthesia group,the difference were statistically significant（P0.05）.Conclusion The effect of spinal-epidural anesthesia for abdominal and lower limb surgery in elderly patients was reliable with less local anesthetics and high safety,which was one of the most suitable anesthesia for elderly patients.
出处
《实用心脑肺血管病杂志》
2012年第11期1831-1832,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
