摘要
背景:目前老年髋关节置换常用的麻醉方法有等密度,高密度,低密度腰麻-硬膜外联合麻醉。比较不同密度腰麻-硬膜外联合麻醉在老年髋关节置换中的应用效果,以寻求最好的用药方案。目的:对高密度、等密度、低密度的麻醉用药方案、麻醉起效时间、麻醉维持时间、Bormage运动阻滞评分进行分析。方法:以"髋关节置换术,腰麻-硬膜外联合麻醉;以:"hipreplacement,combinedspinal-epduralanesthsia"为英文关键词,采用计算机检索2000-01/2011-05相关文章。纳入与有关髋关节置换术腰麻-硬膜外联合相关的文章;排除重复研究或Meta分析类文章。以15篇文献为主重点对腰麻-硬膜外联合麻醉各种用药方案麻醉效果进行分析。结果与结论:几种密度的药液均能满足髋关节置换要求。高密度及等密度的药液对于低密度的药液来讲Bromagc评分更高一些,阻滞效果也更完善一些。麻醉的起效时间根据药液的配比来讲,3g/L的罗哌卡因可能更快一些。麻醉持续时间高密度与等密度药液明显长于低密度的药液。等密度,高密度,低密度腰麻-硬膜外联合麻醉在老年髋关节置换术中的应用均是安全可靠的。
BACKGROUND:Now,anesthesia methods commonly used in the elderly include equal-density,high-density and low-density spinal-epidural anesthesia.The best anesthesia regimen can be chosen based on comparison of different proportion of spinal-epidural anesthesia.OBJECTIVE:To analyze and compare the drug regimen,onset time of anesthesia,anesthesia duration,Bormage motor blocking score among different proportion of spinal-epidural anesthesia.METHODS:A computer based search was performed to retrieve articles about spinal-epidural anesthesia for hip replacement published from 2000-01 to 2011-05 using the keywords of "hip replacement,combined spinal-epidural anesthesia" in Chinese and English.Repetitive articles or Meta analysis were excluded.Finally,15 articles were included in the result analysis.RESULTS AND CONCLUSION:These proportions of the liquid can meet the requirements of total hip replacement.The Bromagc scores of the high-density and equal-density spinal-epidural anesthesia were higher than that of the low-density anesthesia.The onset time of 3 g/L ropivacaine regimen could be faster.Duration of high-density and equal-density anesthesia was longer than that of low-density anesthesia.Equal-density,high-density and low-density spinal-epidural anesthesias are all safe and reliable in elderly hip replacement.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2011年第22期4134-4136,共3页
Journal of Clinical Rehabilitative Tissue Engineering Research