河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
4期
552-554
,共3页
高%龄%股骨头置换术%硬膜外麻醉%腰硬联合麻醉
高%齡%股骨頭置換術%硬膜外痳醉%腰硬聯閤痳醉
고%령%고골두치환술%경막외마취%요경연합마취
Elderly patients%Femoral head replacement%Epidural anesthesia%Spinal-epidural anesthesia
目的：探讨对高龄患者行股骨头置换术时单纯硬膜外阻滞与硬腰联合阻滞的效果与安全性。方法：对在我院行股骨头置换术的120例80岁以上的高龄患者的临床治疗资料进行回顾性分析，将其分为观察组和对照组各60例，其中对照组患者采用硬膜外阻滞麻醉的方式，观察组患者腰硬联合阻滞麻醉的方式，观察麻醉后两组患者的阻滞情况、麻醉效果及不良反应，并进行记录对比分析。结果：观察组的麻醉效果、到达最高阻滞平面时间、运动阻滞程度Bromage 分级评分均明显优于对照组，两组比较差异有统计学意义（ P＜0．05），观察组不良反应发生率明显低于对照组，两组比较差异有统计学意义（ P＜0．05）。结论：采用腰硬联合阻滞的麻醉方式对高龄患者行股骨头置换术临床效果和安全性优于单纯硬膜外阻滞，值得在临床中进一步推广使用。
目的：探討對高齡患者行股骨頭置換術時單純硬膜外阻滯與硬腰聯閤阻滯的效果與安全性。方法：對在我院行股骨頭置換術的120例80歲以上的高齡患者的臨床治療資料進行迴顧性分析，將其分為觀察組和對照組各60例，其中對照組患者採用硬膜外阻滯痳醉的方式，觀察組患者腰硬聯閤阻滯痳醉的方式，觀察痳醉後兩組患者的阻滯情況、痳醉效果及不良反應，併進行記錄對比分析。結果：觀察組的痳醉效果、到達最高阻滯平麵時間、運動阻滯程度Bromage 分級評分均明顯優于對照組，兩組比較差異有統計學意義（ P＜0．05），觀察組不良反應髮生率明顯低于對照組，兩組比較差異有統計學意義（ P＜0．05）。結論：採用腰硬聯閤阻滯的痳醉方式對高齡患者行股骨頭置換術臨床效果和安全性優于單純硬膜外阻滯，值得在臨床中進一步推廣使用。
목적：탐토대고령환자행고골두치환술시단순경막외조체여경요연합조체적효과여안전성。방법：대재아원행고골두치환술적120례80세이상적고령환자적림상치료자료진행회고성분석，장기분위관찰조화대조조각60례，기중대조조환자채용경막외조체마취적방식，관찰조환자요경연합조체마취적방식，관찰마취후량조환자적조체정황、마취효과급불량반응，병진행기록대비분석。결과：관찰조적마취효과、도체최고조체평면시간、운동조체정도Bromage 분급평분균명현우우대조조，량조비교차이유통계학의의（ P＜0．05），관찰조불량반응발생솔명현저우대조조，량조비교차이유통계학의의（ P＜0．05）。결론：채용요경연합조체적마취방식대고령환자행고골두치환술림상효과화안전성우우단순경막외조체，치득재림상중진일보추엄사용。
Objective:To investigate the efficacy and safety of spinal-epidural anesthesia and epidural anesthesia for the elderly patients with femoral head replacement .Method:The clinical data of 120 elderly patients with femoral head replacement of over 80 years were retrospectively analyzed , they were divided into observation group and control group , and each group had 60 cases, The control group was treated with epi-dural anesthesia , while the observation group was given spinal-epidural anesthesia .The anesthesia block sit-uation, the anesthetic effect and adverse reaction were compared between the two groups .Result:The anes-thetic effect, reaching the highest block plane time and degree of motor block Bromage grading score of the obsrvation group were significantly better than the control group , the differences were statistically significant (P<0.05), the incidence of adverse reactions in the observation group was significantly lower than the con -trol group, the difference was statistically significant (P<0.05).Conclusion:The efficacy and safety of spi-nal-epidural anesthesia for the elderly patients with femoral head replacement is better than the epidural an -esthesia method , and it is worth to be further promoted in clinical .
