腰麻复合硬膜外麻醉用于老年患者人工髋关节置换术中的有效性

Effectiveness of combined spinal and epidural anesthesia on artificial hip replacement in elderly patients

目的探讨腰麻复合硬膜外麻醉用于老年患者人工髋关节置换术中的有效性。方法选择116例老年人工髋关节置换术患者为研究对象,按麻醉方式的不同将其分为对照组和研究组,每组58例。将采取持续硬膜外麻醉者设为对照组,采取腰麻复合硬膜外麻醉者设为研究组,比较两组的麻醉效果。结果研究组中麻醉效果为优者占比高于对照组(P<0.05);研究组平均麻醉阻滞完善时间短于对照组(P<0.05);研究组血压异常发生率低于对照组(P<0.05)。结论腰麻复合硬膜外麻醉用于老年患者人工髋关节置换术中效果突出。

Objective To investigate the effectiveness of combined spinal and epidural anesthesia on artificial hip replacement in elderly patients. Methods A total of 116 elderly patients undergoing artificialhip replacement were selected as the study objects. According to the different anesthesia methods, the patients were divided into control group and study group, with 58 cases in each group. The control group was given continuous epidural anesthesia and the study group was given combined spinal and epidural anesthesia. The anesthesia effects of the two groups were compared. Results The proportion of patients with excellent anesthetic effect in the study group was higher than that in the control group(P<0.05).The average perfect time of anesthesia block in the study group was shorter than that in the control group(P<0.05). The incidence of abnormal blood pressure in the study group was lower than that in the control group(P <0.05). Conclusion Combined spinal and epidural anesthesia in elderly patients undergoing artificial hip replacement has a good effect.