不同比重布比卡因在老年髋关节手术麻醉中的应用价值

The Value of Different Bupivacaine in the Applications of Anesthesia in Elderly Hip Surgery

目的探究不同比重布比卡因在老年髋关节手术麻醉中的应用价值。方法选取本院2011年10月—2012年10月的116例老年髋关节手术患者,根据患者实施麻醉过程中所采用的不同比重布比卡因情况进行随机分组,分成观察组和对照组,每组58例,对两组患者采用不同比重布比卡因麻醉的效果进行比较。结果观察组患者药物使用量和麻醉维持时间均小于对照组,差异有统计学意义(P<0.05)。观察组的感觉阻滞起效时间和运动阻滞起效时间均小于对照组,差异有统计学意义(P<0.05)。结论采用等比重布比卡因进行麻醉的临床效果相比较采用轻比重布比卡因进行麻醉的临床效果更加显著,是临床麻醉的可靠选择。

Objective To explore the value of different bupivacaine in the applications of anesthesia in elderly hip surgery. Methods 116 cases of elderly patients with hip surgery in our hospital from October 2011 to October 2012,which were divided into observation group and control group according to the different bupivacaine during anesthesia,and 58 patients in each group. The effects of the two groups of patients with different bupivacaine in anesthesia were compared. Results The amount of drug and maintenance anesthesia time in the observation group were less than the control group,the differences were statistically significant（ P〈0. 05）. The block onset time and motor block onset time in the observation group were less than the control group,the differences were statistically significant（ P〈0. 05）. Conclusion The clinical effect of normobaric bupivacaine compared with light anesthesia is more significant,and it is the reliable choice for clinical anesthesia.