CAJ | 학술논문

目的研究探讨椎管内麻醉不同阻滞平面对高龄全髋关节置换术患者术中血液动力学稳定性影响.方法选取我院2010年3月至2012年3月高龄全髋关节置换术的患者72例,按照椎管内麻醉不同阻滞平面分为A组(T10)、B组(T8)、C组(T6~7)各有24例,观察对比不同时间段的血液动力学变化.结果A、B、C组切皮、假体植入、修整关节、切股骨头、出现麻醉绝对平面时间点的平均动脉压比较具有一定差异(P<0.05),具有统计学意义.结论椎管内麻醉不同阻滞平面中,以椎管内麻醉平面控制在T10水平对高龄全髋关节置换术患者术中血液动力学稳定性影响最小.
목적연구탐토추관내마취불동조체평면대고령전관관절치환술환자술중혈액동역학은정성영향.방법선취아원2010년3월지2012년3월고령전관관절치환술적환자72례,안조추관내마취불동조체평면분위A조(T10)、B조(T8)、C조(T6~7)각유24례,관찰대비불동시간단적혈액동역학변화.결과A、B、C조절피、가체식입、수정관절、절고골두、출현마취절대평면시간점적평균동맥압비교구유일정차이(P<0.05),구유통계학의의.결론추관내마취불동조체평면중,이추관내마취평면공제재T10수평대고령전관관절치환술환자술중혈액동역학은정성영향최소.
Objective: To study the different intravertebral anesthesia block in elderly patients with total hip replacement in hemodynamic stability. Methods: From March March to 2012 2010 in our hospital senile total hip arthroplasty for patients 72 cases, according to the different intravertebral anesthesia block level divided into group A (T10), B group (T8), C group (T6~7) were 24 cases, observation and comparison of different time and hemodynamic changes. Results: A, B, C group of skin incision, prosthesis implantation, finishing joint, femoral head, cut anesthetic emergence absolutely flat time MAP to compared with some differences (P<0.05), with statistical significance. Conclusion: Intraspinal anesthesia with different block plane, with intraspinal anesthesia plane control in T10 levels in elderly patients with total hip replacement in minimal effect on hemodynamic stability.