复合腰麻硬膜外麻醉用于老年病人的临床观察

A Clinical Study of Combined Spinal Epidural Anesthesia in the Elderly Patients

目的 :探讨老年病人应用复合腰麻硬膜外麻醉的可行性。方法 :选择 6 0岁以上患者 6 0例 ,随机分为CSEA组和EA组 ,观察两组病人的麻醉起效时间、阻滞完善时间、上界阻滞平面、麻醉前后循环情况及并发症等。结果 :CSEA组阻滞更完善 ,起效及阻滞完善时间早于EA组 ,上界平面及对BP、SPO2的影响组间比较无明显差异。结论 :老年病人应用CSEA ,只要调控好麻醉平面 。

Objective: To evaluate CSEA and EA for the anesthesia in the elderly patients. Methods: This study compares the time to onset and of adequacy, height of block, circulative conditions and complications, in two randomly assigned groups (CSEA and EA ) of 60 patients over 60 years. Results: The effects were more adequate and the onset time was shorter in CSEA group than EA group. There were no significant differences in height of block, BP and SPO2 between two groups. Conclusion: CSEA is safe with elderly when height of block is controlled.