摘要
目的：探讨腰硬联合麻醉与硬膜外麻醉，静吸复合全麻在髋关节置换手术中的利弊分析。方法选择2011年6月-2012年12月我院收治的120例进行髋关节置换术的老年患者，患者随机分三组：腰硬联合麻醉（CSEA）组，硬膜外麻醉（EA）组，静吸复合全麻（GA）组各40例，对比分析三组患者麻醉的血液动力学，麻醉效果，并发症等。结果血流动力学麻醉起效时间，阻滞完全时间，麻醉效果评定，VAS评分，并发症发生率，术后转ICU率，POCD发生率，手术医生对麻醉主观满意度差异有统计学意义（P＜0.01），CSEA明显优于其他两组。结论腰硬联合麻醉下行髋关节置换术的老年患者血液动力学稳定，起效时间短，镇痛肌松完全，并发症少，术后患者清醒。
Objective To explore the advantage and disadvantage of combined spinal-epidural anesthesia （CSEA）, epidural anesthesia（EA）, and general anesthesia （GA） used in hip replacement. Methods 120 elderly patients treated in our hospital between June 2011 and December 2012 with hip replacement were randomly selected. They were randomly divided into three groups： combined spinal-epidural anesthesia （CSEA） group, epidural anesthesia （EA） group, and general anesthesia （GA） group, and every group had 40 cases. Hemodynamics, anesthesia effectiveness, and complication of three groups were compared and analyzed. Results The differences of hemodynamics, the onset time, the complete block time, anesthesia effect evaluation, VAS score, complication rate, the rate of postoperative transferred to ICU, the incidence of POCD, and the satisfaction of surgeons to anesthesia between three groups were statistically significant （P〈0.01）. The CSEA group is significantly superior to other two groups. Conclusion CSEA in hip replacement of elderly patients has advantages of stable hemodynamic, shorter onset time, complete analgesia and muscle relaxation and less complication, which use for anesthesia postoperative patients are sober.
出处
《中国医药科学》
2015年第6期98-100,137,共4页
China Medicine And Pharmacy
