中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
23期
35-36,39
,共3页
全身麻醉%腰硬联合麻醉%髋关节置换术%老年
全身痳醉%腰硬聯閤痳醉%髖關節置換術%老年
전신마취%요경연합마취%관관절치환술%노년
General anesthesia%Combined spinal epidural anesthesia%Hip replacement%The elderly
目的：探讨全麻复合腰硬联合麻醉在老年患者髋关节置换术的应用效果。方法随机抽取该院2012年2月—2013年8月共收治的60例行髋关节置换术老年患者，将其分为观察组与对照组。两组均给予全身麻醉，观察组在全身麻醉基础上加腰硬联合麻醉，对比两组的麻醉效果。结果观察组的低血压、高血压、术后躁动发生率分别为23.3%、36.7%、36.7%，参照组的分别为63.3%、80.0%、83.3%，观察组的低血压、高血压及术后躁动发生率显著低于对照组；观察组的术后苏醒时间为(15.4±6.2)min,对照组则为(40.3±8.2)min,观察组苏醒时间明显少于对照组；两组比较差异有统计学意义（P<0.05）；两组的出血量则差异无统计学意义（P>0.05）。结论全麻复合腰硬联合麻醉应用于老年患者髋关节置换术，效果显著，值得在临床推广。
目的：探討全痳複閤腰硬聯閤痳醉在老年患者髖關節置換術的應用效果。方法隨機抽取該院2012年2月—2013年8月共收治的60例行髖關節置換術老年患者，將其分為觀察組與對照組。兩組均給予全身痳醉，觀察組在全身痳醉基礎上加腰硬聯閤痳醉，對比兩組的痳醉效果。結果觀察組的低血壓、高血壓、術後躁動髮生率分彆為23.3%、36.7%、36.7%，參照組的分彆為63.3%、80.0%、83.3%，觀察組的低血壓、高血壓及術後躁動髮生率顯著低于對照組；觀察組的術後囌醒時間為(15.4±6.2)min,對照組則為(40.3±8.2)min,觀察組囌醒時間明顯少于對照組；兩組比較差異有統計學意義（P<0.05）；兩組的齣血量則差異無統計學意義（P>0.05）。結論全痳複閤腰硬聯閤痳醉應用于老年患者髖關節置換術，效果顯著，值得在臨床推廣。
목적：탐토전마복합요경연합마취재노년환자관관절치환술적응용효과。방법수궤추취해원2012년2월—2013년8월공수치적60례행관관절치환술노년환자，장기분위관찰조여대조조。량조균급여전신마취，관찰조재전신마취기출상가요경연합마취，대비량조적마취효과。결과관찰조적저혈압、고혈압、술후조동발생솔분별위23.3%、36.7%、36.7%，삼조조적분별위63.3%、80.0%、83.3%，관찰조적저혈압、고혈압급술후조동발생솔현저저우대조조；관찰조적술후소성시간위(15.4±6.2)min,대조조칙위(40.3±8.2)min,관찰조소성시간명현소우대조조；량조비교차이유통계학의의（P<0.05）；량조적출혈량칙차이무통계학의의（P>0.05）。결론전마복합요경연합마취응용우노년환자관관절치환술，효과현저，치득재림상추엄。
Objective To investigate the application effect of combined spinal epidural anesthesia combined with general anesthe-sia on elderly patients with hip replacement. Methods 60 cases of elderly patients underwent hip replacement in our hospital from February 2012 to August 2013 were randomly selected and divided into the observation group and the control group. Both groups were given general anesthesia. In addition, the observation group was given combined spinal epidural anesthesia. The anesthesia effects of two groups were compared. Results In the observation group, the incidence of hypotension, hypertension, and postopera-tive agitation was 23.3%, 36.7%, 36.7%, respectively, and that of the control group was 63.3%, 80.0%, 83.3%, respectively, the incidence of hypotension, hypertension and postoperative agitation of the observation group was significantly lower than that of the control group, respectively; the postoperative recovery time of the observation group was (15.4 ±6.2) min, and that of the control group was (40.3 ± 8.2) min, the observation group's postoperative recovery time was obviously less than that of the control group, the difference was statistically significant (P<0.05);there was no significant difference in the amount of bleeding between the two groups(P>0.05). Conclusion Combined spinal epidural anesthesia combined with general anesthesia has significant effect on elder-ly patients undergoing hip replacement, and it is worthy of clinical promotion.
