老年患者髋关节置换术的麻醉处理分析

Analysis of Anesthetic Treatment in Elderly Patients With Hip Joint Replacement

目的研究分析老年髋关节置换术的临床麻醉方法。方法 2012~2014年我院一共有78例髋关节置换术老年患者,将这些患者分组为全麻组和硬膜外麻醉组,分别有38例和40例患者,对两组患者的临床麻醉效果和意外情况进行对比分析。结果硬膜外麻醉组患者的临床优良率是85%,全麻组的优良率是89.74%,两组差异性不明显,P〉0.05;硬膜外麻醉组术中出现意外的几率是12.5%,全麻组是36.84%,两组差异性明显,P〈0.05。结论为老年患者进行髋关节置换术时使用的麻醉方法比较适合选择硬膜外麻醉,安全性要比全麻高,因此比较适合老年患者使用。

Objective To study the clinical analysis of anesthesia method for elderly patients with hip replacement.Methods In our hospital from 2012 to 2014 a total of 78 cases of elderly patients undergoing hip replacement,the anesthesia group these patients for general anesthesia and epidural block group,there were 38 cases and 40 cases of patients and unexpected situations on the clinical effect of two groups of patients were compared and analyzed anesthesia.Results Epidural anesthesia patientsclinical excelent and good rate is 85%,the rate of excelent and good anesthesia groupis 89.74%,difference between the two groups was not obvious,P〉0.05,epiduralanesthesia accident likely groups of patients is 12.5%,general anesthesia group is 36.84%,the differences between the two groups significantly,P〈 0.05.Conclusion When using the method of anesthesia is more suitable for the selection of epidural anesthesia for elderly patients with hip joint replacement,safety than general anesthesia is high,therefore more suitable for use in elderly patients.