腰硬联合麻醉在脑梗死后下肢骨折手术患者中的应用研究

Application Study of CSEA in Patients with Cerebral Infarction Undergoing Lower Limb Fracture Surgery

目的对脑梗死后下肢骨折手术患者实施腰硬联合麻醉,以此分析其实施应用价值。方法选定2018年1月~2019年9月92例脑梗死后下肢骨折手术患者,采用数字表法进行随机分组:对照组(46例)与研究组(46例);其中,对照组采用硬膜外阻滞麻醉,研究组实施腰硬联合麻醉。对比两组麻醉起效时间、局麻辅助剂量、脑梗复发率。结果麻醉起效时间、局麻辅助剂量:观察组低于对照组,差异具有统计学意义(P<0.05);脑梗复发率观察组0.00%,对照组8.70%,差异具有统计学意义(P<0.05)结论腰硬联合麻醉在脑梗死后下肢骨折手术中安全可靠。

Objective:To study the application value of spinal-epidural anesthesia(CSEA)in patients with cerebral infarction undergoing lower limb fracture surgery.Methods:In total,92 patients with cerebral infarction undergoing lower limb fracture surgery from January 2018 to September 2019 were selected as the objects of study.They were randomly divided into test group(n=46)and control group(n=46).Patients in control group were given epidural anesthesia,while patients in control group were given spinal-epidural anesthesia.The onset and dosage of anesthesia,the recurrence rate of cerebral infarction were compared between the two groups.Results:The onset and dosage of anesthesia in test group were significantly lower than those in control group.The recurrence rate of cerebral infarction was 0.00%in test group and 8.70%in control group(P<0.05).Conclusions:The spinal-epidural anesthesia is safe and reliable for lower limb fracture surgery in patients with cerebral infarction.