摘要
目的:观察腰-硬联合麻醉在老年病人在全髋置换术中的应用。方法:择期全髋置换术老年患者96例随机分为布比卡因腰麻-硬麻联合麻醉组(A组)和利多卡因与罗哌卡因硬膜外麻醉组(B组),每组48例进行手术。观察两组麻醉起效、完善时间,局麻药用量,麻醉前、后血流动力学变化。结果:A组局麻药用量明显少于B组,感觉阻滞起效时间、阻滞完善时间明显短于B组。两组血流动力学变化比较差异无统计学意义。结论:腰硬联合麻醉用于老年患者全髋置换术安全可行。
This thesis aimes to observe combined spinal - epidural anesthesia＇ s application in total hip arthroplasty. This thesis use the method of scheduled total hip joint replacement of old age patients. Group A is isobaric levobupivacaine combined spinal - epidural anesthesia and Group B is levobupivacaine, bupivacaine and ropivacaine combined spinal- epidural anesthesia. We observe the two groups efficiency, perfect anesthetic effect time, needs local anesthetic, changes of hemodymamics and car- diac function before and after anesthesia. The result is Group A is needs less local anesthetic than Group B and less time of sensory block time and perfect block time than Group B. There were no significant differences in Changes of Intra - acinar Arteries Hemodynamics of Group A and Group B. anesthesia is safe and effective in old age patient＇ s application in total hip arthroplasty.
