腰-硬联合麻醉在老年人髋关节置换手术中的应用

Application of spinal-epidural anesthesia in elderly patients with hip replacement

目的观察腰．硬联合麻醉在老年人髋部手术中的应用效果和安全性。方法选择ASA分级Ⅱ～Ⅲ级行髋关节手术的老年患者40例，使用腰麻联合硬膜外麻醉，观察麻醉前、麻醉后5min、10min、15min、30min时的SBP、DBP、HR、Sp02。评价麻醉效果对血流动力学的影响。结果麻醉后患者的SBP、DBP、HR、SpO2与麻醉前相比无统计学意义，术后无恶心、呕吐和头痛。结论腰-硬联合麻醉起效快、安全、维持时间长和术后镇痛效果好，并发症低，可安全用于老年人髋关节置换手术。

Objective To observe the clinical effects and security of spinal-epidural anesthesia in elderly patients with hip replacement. Methods 40 elderly patients classified Ⅱ～Ⅲ grade by ASA, treated by hip replacement and spinai-epidural anesthesia,the SBP,DBP,HR,SpO2 at preceding anesthesia,Smin,10min,15min,30min after anesthesia was observed, and the influence of anesthesia on hemodynamics was evaluated. Results After anesthesia, the SBP, DBP, HR, SpO2 had no significant difference with preceding anesthesia, had no naupathia, sick up and headache. Conclusion The combined spinal-epidural anesthesia has effect on hemodynamic, safe for the elderly patients therapy by hip arthroplasty anesthesia.