CAJ | 학술논문

目的：比较全身麻醉和腰-硬联合麻醉两种麻醉方式用于髋关节置换术的临床效果。方法：选择2010年5月~2013年4月在我院行髋关节置换术患者85例作为研究对象,随机分组。A组患者采用全身麻醉,B组患者采用腰-硬联合麻醉。对比两组患者术中血压、心率等指标波动和手术并发症的差异性。结果：与A组对比发现,B组患者术中血压、心率等指标波动趋于平稳,手术并发症发生率较低,差异具有统计学意义(P<0.05)。结论：在髋关节置换术中采用腰-硬联合麻醉,可保证患者血流动力学稳定,减少手术并发症,值得在今后的临床工作中予以推广应用。
목적：비교전신마취화요-경연합마취량충마취방식용우관관절치환술적림상효과。방법：선택2010년5월~2013년4월재아원행관관절치환술환자85례작위연구대상,수궤분조。A조환자채용전신마취,B조환자채용요-경연합마취。대비량조환자술중혈압、심솔등지표파동화수술병발증적차이성。결과：여A조대비발현,B조환자술중혈압、심솔등지표파동추우평은,수술병발증발생솔교저,차이구유통계학의의(P<0.05)。결론：재관관절치환술중채용요-경연합마취,가보증환자혈류동역학은정,감소수술병발증,치득재금후적림상공작중여이추엄응용。
To compare general anesthesia and epidural anesthesia two anesthetic methods for hip replacement surgery clinical results,for reference.Methods:From May 2010 to April 2013 in our hospital hip replacement surgery 85 patients as research subjects randomized.A group of patients under general anesthesia,B group treated with epidural anesthesia.Compared two groups of patients undergoing blood pressure,heart rate and other indicators fluctuations and differences in surgical complications.Results:Compared with group A discovery,B patients intraoperative blood pressure,heart rate and other indicators of volatility has stabilized,a low incidence of complications,and the difference was statistically significant (P<0.05).Conclusion:Hip arthroplasty using epidural anesthesia,can ensure hemodynamic stability,reduce surgical complications,it is worth in future clinical work to be widely applied.