中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
13期
1990-1994
,共5页
植入物%人工假体%罗哌卡因%腰椎硬膜外麻醉%高龄患者%下肢骨折%关节置换术%镇痛效果
植入物%人工假體%囉哌卡因%腰椎硬膜外痳醉%高齡患者%下肢骨摺%關節置換術%鎮痛效果
식입물%인공가체%라고잡인%요추경막외마취%고령환자%하지골절%관절치환술%진통효과
Anesthesia,Epidural%Anesthesia,Spinal%Anesthetics%Arthroplasty,Replacement,Hip%Arthroplasty,Replacement,Knee
背景：高龄髋、膝关节置换中可以选择不同的镇痛方式，考虑到高龄患者的实际情况，需要合理地进行麻醉方式选择，以达到麻醉起效快、维持时间长以及镇痛效果好等目的。目的：探讨罗哌卡因腰椎硬膜外麻醉在高龄膝关节置换术中的镇痛效果。方法：从沈阳市骨科医院2011年9月至2014年9月收治的行髋、膝关节置换，年龄80-96岁的高龄患者中选择78例，随机分为对照组39例和观察组39例，分别给予连续硬膜外麻醉和罗哌卡因腰椎硬膜外联合麻醉，比较两组的镇痛效果优良率、起效时间、局麻药诱导、杜芬合剂使用次数及不良反应发生情况。结果与结论：观察组镇痛效果优良率为97%，高于对照组87%(P <0.05)。观察组的起效时间显著短于对照组，局麻药诱导量显著低于对照组，杜芬合剂使用次数显著少于对照组，经比较差异均有显著性意义(P <0.05)。两组发生不良反应比较差异不显著(P>0.05)。表明在高龄膝关节置换术中对患者实施罗哌卡因腰椎硬膜外麻醉可以获得良好的镇痛效果。
揹景：高齡髖、膝關節置換中可以選擇不同的鎮痛方式，攷慮到高齡患者的實際情況，需要閤理地進行痳醉方式選擇，以達到痳醉起效快、維持時間長以及鎮痛效果好等目的。目的：探討囉哌卡因腰椎硬膜外痳醉在高齡膝關節置換術中的鎮痛效果。方法：從瀋暘市骨科醫院2011年9月至2014年9月收治的行髖、膝關節置換，年齡80-96歲的高齡患者中選擇78例，隨機分為對照組39例和觀察組39例，分彆給予連續硬膜外痳醉和囉哌卡因腰椎硬膜外聯閤痳醉，比較兩組的鎮痛效果優良率、起效時間、跼痳藥誘導、杜芬閤劑使用次數及不良反應髮生情況。結果與結論：觀察組鎮痛效果優良率為97%，高于對照組87%(P <0.05)。觀察組的起效時間顯著短于對照組，跼痳藥誘導量顯著低于對照組，杜芬閤劑使用次數顯著少于對照組，經比較差異均有顯著性意義(P <0.05)。兩組髮生不良反應比較差異不顯著(P>0.05)。錶明在高齡膝關節置換術中對患者實施囉哌卡因腰椎硬膜外痳醉可以穫得良好的鎮痛效果。
배경：고령관、슬관절치환중가이선택불동적진통방식，고필도고령환자적실제정황，수요합리지진행마취방식선택，이체도마취기효쾌、유지시간장이급진통효과호등목적。목적：탐토라고잡인요추경막외마취재고령슬관절치환술중적진통효과。방법：종침양시골과의원2011년9월지2014년9월수치적행관、슬관절치환，년령80-96세적고령환자중선택78례，수궤분위대조조39례화관찰조39례，분별급여련속경막외마취화라고잡인요추경막외연합마취，비교량조적진통효과우량솔、기효시간、국마약유도、두분합제사용차수급불량반응발생정황。결과여결론：관찰조진통효과우량솔위97%，고우대조조87%(P <0.05)。관찰조적기효시간현저단우대조조，국마약유도량현저저우대조조，두분합제사용차수현저소우대조조，경비교차이균유현저성의의(P <0.05)。량조발생불량반응비교차이불현저(P>0.05)。표명재고령슬관절치환술중대환자실시라고잡인요추경막외마취가이획득량호적진통효과。
BACKGROUND:Analgesia in different ways can be selected for the elderly in hip and knee arthroplasty. Considering the actual situation of the elderly patients, choice of anesthesia should be reasonable in order to achieve fast acting, long lasting time and good analgesic effect. OBJECTIVE:To explore the analgesic effect of ropivacaine of lumbar epidural anesthesia on elderly knee arthroplasty. METHODS:A total of 78 elderly patients aged 80-96 years, who were treated with hip and knee arthroplasty in the Shenyang Orthopaedic Hospital from September 2011 to September 2014, were enrol ed in this study. They were equal y and randomly assigned to control group and observation group, and separately administered continuous epidural anesthesia and lumbar epidural anesthesia with ropivacaine. The excel ent and good rate, onset time, anesthetic induction, frequency of use of Duffing mixture, and adverse reactions were compared between the two groups. RESULTS AND CONCLUSION:The excel ent and good rate of analgesic effect was higher in the observation group (97%) than in the control group (87%) (P<0.05). Onset time was significantly shorter, the dose of anesthetic was significantly less, frequency of use of Duffing mixture was significantly less in the observation group than in the control group (P<0.05). The difference was not significant in adverse reactions between the two groups (P>0.05). Above results indicated that lumbar epidural anesthesia of ropivacaine obtained good analgesic effects during elderly knee arthroplasty.
