CAJ | 학술논문

目的：对髋关节置换术中应用2种麻醉方式的麻醉效果进行分析。方法：选取行髋关节置换术患者48例，随机分为对照组与观察组各24例，对照组给予连续腰麻，观察组给予腰硬联合麻醉，对比2组麻醉效果。结果：2组均未出现严重并发症，观察组麻醉起效时间与BMS 3分出现时间显著短于对照组，最高锐痛阻滞平面显著高于对照组（ P＜0．05），麻醉效果显著优于对照组（P＜0．05）。结论：在髋关节置换中应用腰硬联合麻醉可实现良好麻醉效果，经济实用且安全性高，值得在临床中推广。
목적：대관관절치환술중응용2충마취방식적마취효과진행분석。방법：선취행관관절치환술환자48례，수궤분위대조조여관찰조각24례，대조조급여련속요마，관찰조급여요경연합마취，대비2조마취효과。결과：2조균미출현엄중병발증，관찰조마취기효시간여BMS 3분출현시간현저단우대조조，최고예통조체평면현저고우대조조（ P＜0．05），마취효과현저우우대조조（P＜0．05）。결론：재관관절치환중응용요경연합마취가실현량호마취효과，경제실용차안전성고，치득재림상중추엄。
Objective:To investigate the effect of total hip arthroplasty in the application of two kinds of anesthesia methods of analysis.Methods:From 2011 May to 2013 August in 48 cases in our hospital for hip replacement patients , were randomly di-vided into control group and observation group with 24 cases in each group, the control group was given continuous spinal anes-thesia, the observation group were given combined spinal epidural anesthesia , compared two groups of anesthesia.Results:The two groups had no severe complications, the observation group onset time of anesthesia and BMS 3 appeared time was significant-ly faster than the control group, the sharp pain block level was significantly higher than that of control group (P<0.05), anes-thesia effect was significantly better than the control group (P<0.05).Conclusion:in total hip replacement in the application of combined spinal epidural anesthesia can achieve good anesthetic effect , economy and practicality and high safety , is worthy to be popularized in clinic .