腰硬联合麻醉在老年患者髋关节置换术中的临床应用

The Clinical Application of Combined Spinal-epidural Anesthesia in Treatment of Elderly Patients with Hip Arthroplasty

目的:探讨两种不同麻醉方法在老年患者髋关节置换术中的不同应用效果。方法:选取我院64例患者并随机分成两组,分别行腰硬联合麻醉和单纯硬膜外麻醉,对两种麻醉方法的起效时间、麻醉效果、生命体征变化等进行比较分析。结果:腰硬联合麻醉组与单纯硬膜外麻醉组比较,麻醉起效时间明显缩短,局麻药用药量明显减少(P<0.01),对循环系统、呼吸系统影响也各异。结论:腰硬联合麻醉起效时间短,用药量少,是一种值得信赖的麻醉方法。

Objective：To explore the two different methods of anesthesia in elderly patients with hip arthroplasty results in different applications. Methods：64 cases of patients in our hospital and were randomly divided into two groups,respectively, lines and combined spinal-epidural anesthesia epidurat anesthesia alone,the two methods of nesthesia onset time,anesthetic effect.changes in vital signs were analyzed. Results：The combined spinal-epidurat anesthesia group and epidural anesthesia alone group,anesthesia was significantly shorter onset time,dosage of local anesthetics significantly reduced （P 〈0.01）,on the circulatory system,respiratory effects vary. Conclusions：The combined spinal-epidural anesthesia onset time shorter, less medication is a trusted method of anesthesia.