CAJ | 학술논문

目的：探讨腰硬联合麻醉在高龄患者全髋关节置换术中的效果。方法：选取2013年1月至2014年1月来我院就诊的80例行全髋关节置换术的高龄患者进行研究，随机分为观察组和对照组，各40例。其中观察组采用腰硬联合麻醉法，对照组则应用硬膜外麻醉，观察两组患者的麻醉诱导时间﹑手术时间和止痛效果，同时记录术中麻黄碱的用量等来评定临床疗效。结果：两组的诱导时间﹑手术时间﹑麻黄碱的用量和术中镇痛效果进行比较，观察组明显优于对照组，差异具有统计学意义( P＜0.05)。结论：腰硬联合麻醉的患者术中见效快，能够提供较长时间的手术麻醉和镇痛，呼吸功能保持较好，对循环系统的影响不大，术后并发症也较少，具有很大的优势，值得在临床上推广应用。
목적：탐토요경연합마취재고령환자전관관절치환술중적효과。방법：선취2013년1월지2014년1월래아원취진적80례행전관관절치환술적고령환자진행연구，수궤분위관찰조화대조조，각40례。기중관찰조채용요경연합마취법，대조조칙응용경막외마취，관찰량조환자적마취유도시간﹑수술시간화지통효과，동시기록술중마황감적용량등래평정림상료효。결과：량조적유도시간﹑수술시간﹑마황감적용량화술중진통효과진행비교，관찰조명현우우대조조，차이구유통계학의의( P＜0.05)。결론：요경연합마취적환자술중견효쾌，능구제공교장시간적수술마취화진통，호흡공능보지교호，대순배계통적영향불대，술후병발증야교소，구유흔대적우세，치득재림상상추엄응용。
Objective : To investigate the lumbar epidural anesthesia in elderly patients with total hip arthroplasty results. Elderly patients selected from January 2013 to January 2014 to our hospital 80 cases of total hip arthroplasty study were randomly divided into observation group and control group, 40 cases ; methods. Which the observation group epidural anesthesia , epidural anesthesia control group , patients were observed induction of anesthesia time , surgery time and analgesic effects while recording intraoperative dosage of ephedrine to assess clinical efficacy. Results: The two groups of induction time , operation time, the amount of ephedrine and intraoperative analgesia were compared , the observation group than the control group, the difference was statistical y significant (P <0.05). Conclusion: The patients undergoing lumbar epidural anesthesia in quick, able to provide a longer period of anesthesia and analgesia, respiratory function remains good , little effect on the circulatory system , fewer postoperative complications , with great advantage, worthy of clinical application.