CAJ | 학술논문

目的：比较全麻与腰硬联合麻醉在髋关节置换术中的临床效果。方法：2011年1月-2013年1月收治行髋关节置换术患者56例，作为研究对象，抽签将其分为两组，对照组给予全麻，试验组行腰硬联合麻醉，对两组患者麻醉前后心率、血压变化及术后并发症进行对比分析。结果：试验组血栓形成2例(7.14%)，神经精神异常5例(17.86%)；对照组血栓形成9例(32.14%)，神经精神异常11例(39.29%)，两组比较差异有统计学意义(P＜0.05)。此外，两组麻醉后心率及血压稳定性比较，差异有统计学意义(P＜0.05)。结论：相比全麻，腰硬联合麻醉具有安全、稳定心率及血压、并发症少等特点。
목적：비교전마여요경연합마취재관관절치환술중적림상효과。방법：2011년1월-2013년1월수치행관관절치환술환자56례，작위연구대상，추첨장기분위량조，대조조급여전마，시험조행요경연합마취，대량조환자마취전후심솔、혈압변화급술후병발증진행대비분석。결과：시험조혈전형성2례(7.14%)，신경정신이상5례(17.86%)；대조조혈전형성9례(32.14%)，신경정신이상11례(39.29%)，량조비교차이유통계학의의(P＜0.05)。차외，량조마취후심솔급혈압은정성비교，차이유통계학의의(P＜0.05)。결론：상비전마，요경연합마취구유안전、은정심솔급혈압、병발증소등특점。
Objective:To compare the clinical effects of general anesthesia and combined spinal epidural anesthesia in hip replacement.Methods:56 patients with hip replacement were selected from January 2011 to January 2013.They were as the research objects.They were divided into two groups by draw lots.The control group were given general anesthesia.The experimental group were given combined spinal epidural anesthesia.The heart rate before and after anesthesia,blood pressure change and postoperative complications of patients in two groups were contrastively analyzed.Results:In the experimental group,2 cases(7.14% ) were thrombogenesis;5 cases(17.86% ) were nerve mental disorder.In the control group,9 cases(32.14% ) were thrombogenesis;11 cases(39.29%) were nerve mental disorder.The difference was statistically significant(P<0.05).In addition,the heart rate and blood pressure stability of two groups after anesthesia were compared,and the difference was statistically significant(P<0.05).Conclusion:Compared with general anesthesia,combined spinal epidural anesthesia has the characteristics, such as safe,stable heart rate and blood pressure,less complications.