硬膜外阻滞麻醉对侧卧位骨科手术患者血流动力学的影响

Hemodynamics Effects of Epidural Anesthesia on Orthopedics Operation Patients with Lateral Position

目的：探讨连续硬膜外麻醉对侧卧位骨科手术患者阻滞特性和血流动力学的影响。方法：将80例择期行髋关节置换或股骨颈骨折患者随机分为试验组和对照组各40例，试验组患者始终保持侧卧位进行硬膜外麻醉，对照组则在穿刺成功后，变换为平卧位输入局麻药。结果：两组患者麻醉辅助用药情况比较无显著性差异，两组间各时间点HR、MAP和SpO2比较均无显著性差异（p〈0．05）。结论：侧卧位连续硬膜外麻醉进行手术是安全有效的。

Objective： To investigate the block features and hemodynamics effects of continuous eplaural operation patients with lateral position. Methods： 80 patients were randomly divided into experimental group and control group, each of 40 cases, experimental .group kept lateral position proceeding epidural anesthesia, turning into supine position when control group was instilled local anesthetics after successful puncture. Results： Situation between two groups with anesthesia adjuvant drug was no significant different at each time point, HR, MAP and SpO2 （P〉0.05）. Conclusion： Operations of continuous epidural anes- thesia with lateral position is safe and effective.