两种麻醉方式用于髋关节置换术的临床效果比较

Clinical effect comparison of two kinds of anesthesia methods in hip replacement

目的:比较全麻与腰硬联合麻醉在髋关节置换术中的临床效果。方法:2011年1月-2013年1月收治行髋关节置换术患者56例,作为研究对象,抽签将其分为两组,对照组给予全麻,试验组行腰硬联合麻醉,对两组患者麻醉前后心率、血压变化及术后并发症进行对比分析。结果:试验组血栓形成2例(7.14%),神经精神异常5例(17.86%);对照组血栓形成9例(32.14%),神经精神异常11例(39.29%),两组比较差异有统计学意义(P<0.05)。此外,两组麻醉后心率及血压稳定性比较,差异有统计学意义(P<0.05)。结论:相比全麻,腰硬联合麻醉具有安全、稳定心率及血压、并发症少等特点。

Objective:To compare the clinical effects of general anesthesia and combined spinal epidural anesthesia in hip replacement.Methods:56 patients with hip replacement were selected from January 2011 to January 2013.They were as the research objects.They were divided into two groups by draw lots.The control group were given general anesthesia.The experimental group were given combined spinal epidural anesthesia.The heart rate before and after anesthesia,blood pressure change and postoperative complications of patients in two groups were contrastively analyzed.Results:In the experimental group,2cases(7.14%) were thrombogenesis;5 cases(17.86%) were nerve mental disorder.In the control group,9 cases(32.14%) were thrombogenesis;11 cases(39.29%) were nerve mental disorder.The difference was statistically significant(P<0.05).In addition,the heart rate and blood pressure stability of two groups after anesthesia were compared,and the difference was statistically significant(P<0.05).Conclusion:Compared with general anesthesia,combined spinal epidural anesthesia has the characteristics,such as safe,stable heart rate and blood pressure,less complications.