CAJ | 학술논문

目的：分析研究在老年人工股骨头置换手术采取不同剂量舒芬太尼联合左布比卡因蛛网膜下腔阻滞的临床应用价值。方法选取2008年1月～2014年10月采取腰硬联合麻醉下进行人工股骨头置换术的老年病人一共45例，随机分为A组、B组、C组，A组对病人采取3 g舒芬太尼联合左布比卡因；B组对病人采取4 g舒芬太尼联合左布比卡因；C组对病人采取5g舒芬太尼联合左布比卡因；对三组临床麻醉效果以及不良反应给予分析研究。结果 B组与A组T3时候的SBP、HR、DBP差异具有明显的统计学意义（ P＜0．05）；和手术之前基础值对比，C组3 min、5 min、10 min时候的SBP和DBP显著降低，HR显著升高（ P＜0．05）；A组和B组不良反应发生率明显低于C组（ P＜0．05）。结论在老年人工股骨头置换手术当中采取3 g舒芬太尼联合左布比卡因蛛网膜下腔阻滞，可以使血液流动力学保持稳定，同时不良反应较低，具有安全有效性。
목적：분석연구재노년인공고골두치환수술채취불동제량서분태니연합좌포비잡인주망막하강조체적림상응용개치。방법선취2008년1월～2014년10월채취요경연합마취하진행인공고골두치환술적노년병인일공45례，수궤분위A조、B조、C조，A조대병인채취3 g서분태니연합좌포비잡인；B조대병인채취4 g서분태니연합좌포비잡인；C조대병인채취5g서분태니연합좌포비잡인；대삼조림상마취효과이급불량반응급여분석연구。결과 B조여A조T3시후적SBP、HR、DBP차이구유명현적통계학의의（ P＜0．05）；화수술지전기출치대비，C조3 min、5 min、10 min시후적SBP화DBP현저강저，HR현저승고（ P＜0．05）；A조화B조불량반응발생솔명현저우C조（ P＜0．05）。결론재노년인공고골두치환수술당중채취3 g서분태니연합좌포비잡인주망막하강조체，가이사혈액류동역학보지은정，동시불량반응교저，구유안전유효성。
Objective To analysis of taking different doses of sufentanil combined levobupivacaine subarachnoid block clinical application value in the elderly with artificial femoral head replacement operation .Methods From 2008 January -2014 year in October in our hospital were taken in elderly patients with artificial femoral head replacement combined spinal epidural anesthesia for a total of 45 cases, were randomly divided into A group , B group, C group, A group adopted 3G sufentanil combined with levobupivacaine in patients; group B took 4G Shu fentanyl combined with levobupivacaine to the patient;group C took 5g sufentanil combined with levobupivacaine in patients;on three groups of clinical anesthesia effect and adverse reaction to give analysis and research .Results Statistically significant in B group and A group, T3 SBP, HR, DBP time difference (P<0.05);and the operation before the basis value contrast group , C 3 min, 5 min, 10 min when the SBP and DBP decreased , HR increased significantly ( P<0.05 ); A group and B group, the incidence of adverse reaction was lower than group C (P<0.05).Conclusions Take 3G sufentanil com-bined with levobupivacaine subarachnoid anesthesia in elderly patients with artificial femoral head replacement operation , can make blood flow dynamics remain stable , at the same time , the adverse reaction is lower , has the advantages of safe-ty, effectiveness.