期刊文献+

利多卡因静脉输注在老年髋关节手术中应用

下载PDF
导出
摘要 股骨粗隆间骨折为老年人常见病,需及时手术治疗。但因患者本身的生理性退行性改变和手术创伤、应激导致过度的炎性反应都给患者的预后带来不良影响既往研究显示麻醉方法为预后影响因素之一,局麻优于全麻,这归功于局麻药物的抑制神经传导或本身的药效学所产生的抗炎作用‘川。当临床工作中患者存在椎管内麻醉禁忌而只能采用全身麻醉完成手术时,我们能否通过静脉注入局部麻醉药物同样获得到与局部麻醉相同的效果呢?
作者 李永刚
出处 《临床和实验医学杂志》 2011年第1期52-53,共2页 Journal of Clinical and Experimental Medicine
  • 相关文献

参考文献7

  • 1Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mor- tality and morbidity with epidural or spinal anaesthesia: results from o- verview of randomised trials[ J ]. BMJ, 2000, 321 (7275) : 1493.
  • 2Marana E, Annetta MG, Meo F, et al. Sevoflurane improves the neuro- endocrine stress response during laparoscopic pelvic surgery[ J]. Can J Anaesth, 2003, 50(4):348-354.
  • 3Marmcco - Trischitta MM, Tiezzi A, Svampa MG, et al. Perioperative stress response to carotid endarterectomy: the impact of anesthetic mo- dality[J]. J Vasc Surg, 2004, 39(6) :1295 -304.
  • 4Norman JG, Fink GW. The effects of epidural anesthesia on the neuro- endocrine response to major surgical stress: a randomized prospective trial[J]. Am Surg, 1997, 63(1) :75 -80.
  • 5疏树华,方才.高龄病人围术期安危因素的探讨[J].安徽医学,2006,27(4):308-310. 被引量:7
  • 6Kugisaki H, Sonohata M, Komine M, et al. Serum concentrations of in- terleukin- 6 in patients following unilateral versus bilateral total knee arthroplasty[ J]. J Orthop Sci, 2009, 14(4) :437 -442.
  • 7Hollmann MW, Wieczorek KS, Berger A, et al. Local anesthetic inhi- bition of G protein - coupled receptor signaling by interference with Gal- pha(q) protein function [ J]. Mol Pharmacol, 2001, 59 (2) : 294 - 301.

二级参考文献5

  • 1萧广钧 招伟贤.老年病人麻醉[A].见:刘俊杰 赵俊 主编.现代麻醉学[C].北京:人民卫生出版社,1999.852-861.
  • 2Polanczyk CA, Marcantonio E, Goldman L, et al. Impact of age on perioperative Complications and length of stay in patients undergoing noncardiac surgery. Ann Intern Med,2001,134:637-643
  • 3Dzankic S, Pastor D,Conzalez C, et al. The Prevalence and Predictive Value Of Abnormal Preoperative laboratory Tests in Elderly Surgical Patients. Anesth Analg, 2001, 93 :301-308
  • 4王建生,贾敬业.老年人椎管内麻醉的药理学特点[J].国外医学(麻醉学与复苏分册),1990,11(2):83-86. 被引量:13
  • 5陈宇.围术期心肌缺血诊断及治疗[J].国外医学(麻醉学与复苏分册),1999,20(4):223-225. 被引量:27

共引文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部