combined with sufentanil in elderly patients undergoing hip replacement.Methods:89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control grou...combined with sufentanil in elderly patients undergoing hip replacement.Methods:89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control group.The experimental group was anesthetized with light specific gravity ropivacaine combined with sufentanil.The control group was anesthetized with equal specific gravity ropivacaine to compare the effect of anesthesia and the incidence of adverse reactions.Results:there was no significant difference in sensory recovery time and motor recovery time between the experimental group and the control group(P>0.05),and the incidence of adverse reactions between the two groups was low.The sensory block time in the experimental group was shorter than that in the control group(PP>0.05).Conclusion:ropivacaine combined with sufentanil subarachnoid anesthesia is more effective in elderly patients undergoing hip arthroplasty,and the safety of the anesthesia scheme is higher,which will not lead to serious adverse reactions during operation.Moreover,the application of the anesthesia scheme can effectively improve the analgesic effect during and after operation,and the clinical application value is high.展开更多
目的探讨不同剂量轻比重丁哌卡因蛛网膜下腔麻醉在高龄患者髋关节骨折手术中的应用效果。方法选取60例行髋关节骨折手术的高龄患者,随机分成A组、B组、C组,每组20例。3组患者分别采用1.4 mL 0.25%轻比重丁哌卡因、1.8 mL 0.25%轻比重丁...目的探讨不同剂量轻比重丁哌卡因蛛网膜下腔麻醉在高龄患者髋关节骨折手术中的应用效果。方法选取60例行髋关节骨折手术的高龄患者,随机分成A组、B组、C组,每组20例。3组患者分别采用1.4 mL 0.25%轻比重丁哌卡因、1.8 mL 0.25%轻比重丁哌卡因、2.2 mL 0.25%轻比重丁哌卡因进行蛛网膜下腔麻醉。比较3组患者的感觉神经及运动神经阻滞起效时间、持续时间,以及麻醉后15 min手术侧单侧阻滞发生率、术中追加局麻药的比例及给药后48 h内不良反应发生情况。结果 3组患者感觉神经阻滞起效时间、运动神经阻滞起效时间及麻醉后15 min术侧单侧阻滞发生率差异均无统计学意义(P均>0.05),而3组患者感觉神经阻滞持续时间和运动神经阻滞持续时间均为C组>B组>A组(均P<0.05)。A组术中追加硬膜外麻醉药的比例均高于B组与C组(均P<0.05),而B组与C组之间差异无统计学意义(P>0.05);C组术中低血压发生率高于B组(P<0.05),而A组与B组之间差异无统计学意义(P>0.05);3组患者均无寒战和术后头痛发生,且心动过缓、恶心呕吐及术后腰背痛发生率均无统计学差异(均P>0.05)。结论在高龄患者髋关节骨折手术中采用1.8 mL 0.25%轻比重丁哌卡因腰麻液进行蛛网膜下腔麻醉,可获得满意的麻醉效果,保持血流动力学稳定,且不良反应少。展开更多
文摘combined with sufentanil in elderly patients undergoing hip replacement.Methods:89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control group.The experimental group was anesthetized with light specific gravity ropivacaine combined with sufentanil.The control group was anesthetized with equal specific gravity ropivacaine to compare the effect of anesthesia and the incidence of adverse reactions.Results:there was no significant difference in sensory recovery time and motor recovery time between the experimental group and the control group(P>0.05),and the incidence of adverse reactions between the two groups was low.The sensory block time in the experimental group was shorter than that in the control group(PP>0.05).Conclusion:ropivacaine combined with sufentanil subarachnoid anesthesia is more effective in elderly patients undergoing hip arthroplasty,and the safety of the anesthesia scheme is higher,which will not lead to serious adverse reactions during operation.Moreover,the application of the anesthesia scheme can effectively improve the analgesic effect during and after operation,and the clinical application value is high.
文摘目的探讨不同剂量轻比重丁哌卡因蛛网膜下腔麻醉在高龄患者髋关节骨折手术中的应用效果。方法选取60例行髋关节骨折手术的高龄患者,随机分成A组、B组、C组,每组20例。3组患者分别采用1.4 mL 0.25%轻比重丁哌卡因、1.8 mL 0.25%轻比重丁哌卡因、2.2 mL 0.25%轻比重丁哌卡因进行蛛网膜下腔麻醉。比较3组患者的感觉神经及运动神经阻滞起效时间、持续时间,以及麻醉后15 min手术侧单侧阻滞发生率、术中追加局麻药的比例及给药后48 h内不良反应发生情况。结果 3组患者感觉神经阻滞起效时间、运动神经阻滞起效时间及麻醉后15 min术侧单侧阻滞发生率差异均无统计学意义(P均>0.05),而3组患者感觉神经阻滞持续时间和运动神经阻滞持续时间均为C组>B组>A组(均P<0.05)。A组术中追加硬膜外麻醉药的比例均高于B组与C组(均P<0.05),而B组与C组之间差异无统计学意义(P>0.05);C组术中低血压发生率高于B组(P<0.05),而A组与B组之间差异无统计学意义(P>0.05);3组患者均无寒战和术后头痛发生,且心动过缓、恶心呕吐及术后腰背痛发生率均无统计学差异(均P>0.05)。结论在高龄患者髋关节骨折手术中采用1.8 mL 0.25%轻比重丁哌卡因腰麻液进行蛛网膜下腔麻醉,可获得满意的麻醉效果,保持血流动力学稳定,且不良反应少。
