延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
14期
222-223
,共2页
骨科手术%高龄%麻醉%安全性%效果
骨科手術%高齡%痳醉%安全性%效果
골과수술%고령%마취%안전성%효과
orthopedic surgery%aged%anesthesia%security%effect
目的：：探讨高龄骨科手术患者不同麻醉方式的效果及安全性，旨在确立兼具疗效与安全性的高龄骨科手术麻醉方案。方法：选取2013年1月-2015年1月于我院接受骨科手术治疗的60例高龄患者作为研究对象，按照随机数字表法将其分为A、B两组，每组30例。A组腰硬联合麻醉（CSEA），B组给予持续硬膜外麻醉（CEA），对比观察两组患者的麻醉效果，记录两组患者低血压及低温寒战的发生率，评估椎管麻醉在高龄骨科手术中的应用价值。结果：A组患者阻滞起效时间、完善时间分别为（1.56±0.55）min、（9.66±3.42）min，均明显快于B组，组间对比差异有统计学意义（P＜0.05）；A组麻醉30min后与手术后30min低温寒战发生率分别为33.33%与23.33%，均明显低于B组患者（P＜0.05）。结论：在高龄骨科手术中应用腰硬联合麻醉方案，相较持续硬膜外麻醉方案，其起效速度快，麻醉效果佳，患者不良反应发生率低，安全性高，值得推广。
目的：：探討高齡骨科手術患者不同痳醉方式的效果及安全性，旨在確立兼具療效與安全性的高齡骨科手術痳醉方案。方法：選取2013年1月-2015年1月于我院接受骨科手術治療的60例高齡患者作為研究對象，按照隨機數字錶法將其分為A、B兩組，每組30例。A組腰硬聯閤痳醉（CSEA），B組給予持續硬膜外痳醉（CEA），對比觀察兩組患者的痳醉效果，記錄兩組患者低血壓及低溫寒戰的髮生率，評估椎管痳醉在高齡骨科手術中的應用價值。結果：A組患者阻滯起效時間、完善時間分彆為（1.56±0.55）min、（9.66±3.42）min，均明顯快于B組，組間對比差異有統計學意義（P＜0.05）；A組痳醉30min後與手術後30min低溫寒戰髮生率分彆為33.33%與23.33%，均明顯低于B組患者（P＜0.05）。結論：在高齡骨科手術中應用腰硬聯閤痳醉方案，相較持續硬膜外痳醉方案，其起效速度快，痳醉效果佳，患者不良反應髮生率低，安全性高，值得推廣。
목적：：탐토고령골과수술환자불동마취방식적효과급안전성，지재학립겸구료효여안전성적고령골과수술마취방안。방법：선취2013년1월-2015년1월우아원접수골과수술치료적60례고령환자작위연구대상，안조수궤수자표법장기분위A、B량조，매조30례。A조요경연합마취（CSEA），B조급여지속경막외마취（CEA），대비관찰량조환자적마취효과，기록량조환자저혈압급저온한전적발생솔，평고추관마취재고령골과수술중적응용개치。결과：A조환자조체기효시간、완선시간분별위（1.56±0.55）min、（9.66±3.42）min，균명현쾌우B조，조간대비차이유통계학의의（P＜0.05）；A조마취30min후여수술후30min저온한전발생솔분별위33.33%여23.33%，균명현저우B조환자（P＜0.05）。결론：재고령골과수술중응용요경연합마취방안，상교지속경막외마취방안，기기효속도쾌，마취효과가，환자불량반응발생솔저，안전성고，치득추엄。
Objective To explore the effect and safety of different anesthesia methods in elderly patients with orthopedic surgery?, aiming at establishing a plan for anesthesia of orthopedic surgery with both the efficacy and safety of the elder. Methods 60 cases of elderly patients receiving orthopedic surgery in our hospital from January 2013 to January 2015 were selected as the research object and randomly divided into group A and group B two groups, 30 cases in each group. Group A received combined spinal epidural anesthesia (CSEA) while group B received continuous epidural anesthesia (CEA). The anesthetic effect of two groups was compara-tive observed, the incidence of hypotension and cryogenic shivering of two groups of patients was recorded and application value of spinal anesthesia in orthopedic surgery of the aged was evaluated. Results The time of retarding effect and improvement in group A was (1.56+0.55) min and (9.66+3.42) min which were signifi-cantly faster than group B and the dif erence was statistically significant between the groups (P<0.05);The occurrence of cryogenic shivering 30min after anesthesia and operation of group A respectively were 33.33%and 23.33%which was significantly lower than that of patients in group B (P<0.05). Conclusion Compared with continuous epidural anesthesia scheme, the application of CSEA works faster and of good anesthetic effect. The adverse reaction rate of patients was low. It is of high security and worthy of promotion.
