CAJ | 학술논문

目的：探讨小剂量布比卡因腰-硬联合麻醉用于高龄患者股骨颈骨折手术的效果。方法选择ASAⅡ～Ⅲ级高龄患者股骨颈骨折择期手术患者58例，采用0.75％布比卡因6 mg腰-硬联合麻醉后，观察手术中的麻醉效果、术中呼吸、血流动力学的变化以及麻醉后并发症发生等情况。结果术前和术中呼吸、血流动力学无明显改变（ P均＞0.05）。结论小剂量布比卡因腰-硬联合麻醉在高龄患者股骨颈骨折手术中的应用，对患者呼吸、循环系统抑制作用轻微，具有效果确切、安全可靠、不良反应小等优点。
목적：탐토소제량포비잡인요-경연합마취용우고령환자고골경골절수술적효과。방법선택ASAⅡ～Ⅲ급고령환자고골경골절택기수술환자58례，채용0.75％포비잡인6 mg요-경연합마취후，관찰수술중적마취효과、술중호흡、혈류동역학적변화이급마취후병발증발생등정황。결과술전화술중호흡、혈류동역학무명현개변（ P균＞0.05）。결론소제량포비잡인요-경연합마취재고령환자고골경골절수술중적응용，대환자호흡、순배계통억제작용경미，구유효과학절、안전가고、불량반응소등우점。
Objective To investigate the anesthesia effect of small dose bupivacaine combined spinal -epi-dural anesthesia in the surgical treatment of femoral neck fracture in elderly patients .Methods Fifty-eight ASAⅡ~Ⅲgrade elderly patients undergoing elective femoral neck fracture surgery received small dose (0.75%bupivacaine 6 mg) spinal-epidural anesthesia , and the anesthetic effect , intraoperative respiratory , hemodynamic changes , and the com-plications caused by anesthesia were observed .Results There were no significant changes in preoperative , intraoper-ative respiratory , or hemodynamic indexes ( P all >0.05 ) .Conclusion Small dose bupivacaine combined spinal-epidural anesthesia for femoral neck fracture surgery in elderly patients has less inhibition effect on respiratory and circulatory system, with the advantages of exact anesthesia effect , higher safety, less adverse reactions , etc.