中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2014年
4期
341-342
,共2页
田文华%高嵩%杨帆%魏常%汤世玉%罗锋%全国强
田文華%高嵩%楊帆%魏常%湯世玉%囉鋒%全國彊
전문화%고숭%양범%위상%탕세옥%라봉%전국강
小剂量%布比卡因%腰-硬联合麻醉%高龄患者
小劑量%佈比卡因%腰-硬聯閤痳醉%高齡患者
소제량%포비잡인%요-경연합마취%고령환자
Small dose%Bupivacaine%Combined spinal-epidural anesthesia%Elderly patients
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。
目的:探討小劑量佈比卡因腰-硬聯閤痳醉用于高齡患者股骨頸骨摺手術的效果。方法選擇ASAⅡ~Ⅲ級高齡患者股骨頸骨摺擇期手術患者58例,採用0.75%佈比卡因6 mg腰-硬聯閤痳醉後,觀察手術中的痳醉效果、術中呼吸、血流動力學的變化以及痳醉後併髮癥髮生等情況。結果術前和術中呼吸、血流動力學無明顯改變( P均>0.05)。結論小劑量佈比卡因腰-硬聯閤痳醉在高齡患者股骨頸骨摺手術中的應用,對患者呼吸、循環繫統抑製作用輕微,具有效果確切、安全可靠、不良反應小等優點。
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.