摘要
目的探讨预充回流试验法对老年髋关节置换术硬膜外麻醉术后疼痛的影响。方法择期拟行髋关节置换术患者60例,将患者随机分为A、B两组,每组30例,A组为预充回流试验法组,B组为空白对照组。A组行硬膜外麻醉时向硬膜外腔预充注入生理盐水3 ml,观察1 min玻璃注射器内有无回流液及回流液性状。B组行常规硬膜外麻醉。结果 A组麻醉起效时间较B组短,差异有统计学意义(p<0.05);A组术后30 min、1 h、2 h、4 h的VAS评分明显低于B组,差异有统计学意义(p<0.05)。A组不良反应中,恶心呕吐和头痛的发生率较B组低,差异有统计学意义(p<0.05)。结论预充回流试验法应用于老年髋关节置换术硬膜外麻醉能有效缩短麻醉起效时间,减轻术后疼痛,降低不良反应的发生率。
Objective To study the effects of epidural space suffusion liquid reflow on epidural anesthesia insenile total hip arthroplasty. Methods Sixty patients scheduled for selective senile total hip arthroplasty under general anesthesia were randomly divided into two groups with 30 cases each. Patients in group A were poured 3ml normal sa- line into epidural space during epidural anesthesia. The character of reflow liquid was observed for 5 minutes. Patients of group B were blank control. Results The anesthesia onset time of group A was shorter than group B. At 30min, 1 h, 2h and 4h the VAS scores of group A were significantly lower than group B. Adverse reactions of group A were lower than those of group B（p 〈0. 05）, especially in the incidence rate of nausea, vomiting and headache. Conclusion Ap- plication of epidural space suffusion liquid reflow on epidural anesthesia in senile total hip arthroplasty increases the ef- fectivity of epidural anesthesia, reduce the anesthetic onset time, postoperative pain and incidence of complications.
出处
《现代医院》
2013年第6期25-27,共3页
Modern Hospitals
关键词
预充回流试验法
老年髋关节置换术
硬膜外麻醉
术后疼痛
Epidural space suffusion liquid reflow, Senile total hip arthroplasty, Epidural anesthesia, Post-operative pain
