腰-硬联合麻醉在老年心血管病患者髋关节置换术中的应用

Application Effect of Spinal-Epidural Anesthesia in Hip Replacement in Elderly Patients with Cardiovascular Disease

目的观察老年心血管患者髋关节置换中应用腰-硬联合麻醉的效果。方法选取罗平县中医医院2018年1月至2019年5月收治的100例老年心血管病髋关节置换术患者,随机分为对照组以及研究组两组,每组50例。对照组采用常规麻醉,研究组采用腰-硬联合麻醉。对两组不同的麻醉果进行对比与分析。结果研究组患者麻醉后心率水平、术中血压要明显高于对照组(P<0.05),且苏醒时间短于对照组(P<0.05)。结论老年心血管病髋关节置换术采用腰-硬联合麻醉,能够减少患者手术期间的应激反应,同时加快患者的术后苏醒。

Objective To observe the effect of combined lumbar-epidural anesthesia in hip arthroplasty in elderly patients with cardiovascular disease.Methods From January 2018 to May 2019,100 elderly patients with cardiovascular hip arthroplasty were randomly divided into control group and study group,50 cases in each group.The control group was anesthetized by routine anesthesia and the study group was anesthetized by combination of lumbar and epidural anesthesia.The different anesthetic fruit of the two groups were compared and analyzed.Results The heart rate and blood pressure in the study group were significantly higher than those in the control group(P<0.05),and the recovery time was shorter than that in the control group(P<0.05).Conclusion Combined lumbar-epidural anesthesia in elderly patients with cardiovascular hip arthroplasty can reduce the stress response during operation and accelerate the recovery of patients after operation.