摘要
目的比较3种麻醉方式对高龄高危髋关节置换术患者的应用效果。方法回顾我院2010年1月～2013年1月择期行人工髋置换术的90例高龄高危患者的临床资料，分为3组：A（持续硬膜外麻醉）、B（腰麻复合硬膜外麻醉）、C（全麻复合硬膜外麻醉），密切观察3组麻醉效果、术中血流动力学及术后并发症发生率。结果3组效果比较无显著差异（P〉0．05）；在血流动力学变化及术后并发症发生率B、C组无统计学意义（P〉0．05），与A组比较有统计学意义（P〈0．05）。结论腰麻复合硬膜外和全麻复合低浓度小剂量硬膜外麻醉对高龄高危髋关节置换术均效果好，循环稳定，术后并发症发生少，临床应根据具体情况选择。
Objective To compare the effect of three kinds of anesthesia on elderly high-risk patients with hip replacement. Methods 90 cases of high-risk patients over 70 years with hip replacement surgery in January 2010 to January 2013 were divided into three groups：A（continuous epidural anesthesia group）,B（spinal anesthesia combined with epidural anesthesia group）,C（anesthesia combined with epidural anesthesia group）.The effect, intraoperative hemodynaic parameters and postoperative complications were observed. Results The three groups showed no significant anesthetic effect difference（P 〉 0.05）;B,Cgroup in hemodynamic changes had no statistically significant differences（P 〉 0.05）,compared with groupA,the difference was statistically significant（P 〈 0.05）. Conclusion Spinal anesthesia combined with epidural anesthesia and general anesthesia combined with epidural anesthesia are effective.Clinical should be based on the specific circumstances.
出处
《中国医药科学》
2013年第17期134-135,共2页
China Medicine And Pharmacy
关键词
麻醉
高龄高危
髋关节置换术
Anesthesia
Elderly at risk
Hip arthroplasty
