0928;权乐乐;对比两种麻醉方式用于髋关节置换术效果;2500.docVIP

对比两种麻醉方式用于髋关节置换术的效果 【摘要】目的：对髋关节置换术中应用两种麻醉方式的麻醉效果进行分析。方法：选取行髋关节置换术患者48例，随机分为对照组与观察组各24例，对照组给予连续腰麻，观察组给予腰硬联合麻醉，对比两组麻醉效果。结果：两组均未出现严重并发症，观察组麻醉起效时间与BMS 3分出现时间显著短于对照组，最高锐痛阻滞平面显著高于对照组（P0.05），麻醉效果显著优于对照组（P0.05）。结论：在髋关节置换中应用腰硬联合麻醉可实现良好麻醉效果，经济实用且安全性高，值得在临床中推广。 【关键词】髋关节置换术；连续腰麻；腰硬联合麻醉 Comparison of two anesthesia methods for total hip replacement effect [Abstract] Objective: To investigate the effect of total hip arthroplasty in the application of two kinds of anesthesia methods of analysis. Methods: from 2011 May to 2013 August in 48 cases in our hospital for hip replacement patients, were randomly divided into control group and observation group with 24 cases in each group, the control group was given continuous spinal anesthesia, the observation group were given combined spinal epidural anesthesia, compared two groups of anesthesia. Results: the two groups had no severe complications, the observation group onset time of anesthesia and BMS 3 appeared time was significantly faster than the control group, the sharp pain block level was significantly higher than that of control group (P0.05), anesthesia effect was significantly better than the control group (P0.05). Conclusion: in total hip replacement in the application of combined spinal epidural anesthesia can achieve good anesthetic effect, economy and practicality and high safety, is worthy to be popularized in clinic. [keyword] hip replacement; continuous spinal anesthesia; combined spinal epidural anesthesia。 老年人由于体内钙质缺乏，常会发生股骨颈骨折、股骨头坏死等症状，需展开髋关节置换术进行治疗[1]。然而，由于老年患者年龄较大，常有内分泌、呼吸与循环等系统疾病，在行髋关节置换术时，容易给患者造成较大刺激，引起较多出血，同时因为老年患者脏器功能较弱，对手术及麻醉耐受力均相对较差[2]。为对髋关节置换术中有效麻醉方法进行分析，笔者选取行髋关节置换术患者48例，随机分组后对照组给予连续腰麻，观察组给予腰硬联合麻醉，其中观察组效果显著，现报道如下。 1 资料与方法 1.1 临床资料 选取2011年5月至2013年8月于我院行髋关节置换术患者48例，其中男31例，女17例，年龄59-81岁，平均（72.5±3.5）岁；所有患者均为首次行髋关节置换，合并症为：慢性阻塞性肺疾病5例，糖尿病6例，冠心病4例，高血压8例，脑卒中后遗症3例。将48例患者随机分为观察组与对照组各24例，两组患者在年龄、性别等基本资料方面差异均无统计学意义（P＞0.05），可展开对比。 1.2 方法 两组患者在术前均进行8h禁饮禁食，在送至手术室之前0.5h均给予0.5mg阿托品、0.1g苯巴比妥钠肌肉注射。面罩吸氧，维持氧流量为3L/min，将外周静脉开放后给予乳酸