腰硬联合麻醉在高龄人工髋关节置换手术中的应用.pdfVIP

2009年02月 生物骨科材料与临床研究 第6卷第1期 ORTHOPAEDICBIOMECHANICSMATERIALSANDCLINICALStUDY 37 48 文章编号：swgk2008—09—01 腰硬联合麻醉在高龄人工髋关节置换手术中的应用 刘立莉 [摘要】目的探讨腰硬联合麻醉在高龄人工髋关节置换手术中应用的可行性和安全性。方法64例高龄择期手术 患者ASAII—III级，随机分为腰硬联合麻醉(Combined OUS epiduralanesthesia，CEA)组。观察麻醉效果及对血流动力学影响。结果CSEA麻醉起效快，镇痛效果满意，对 血流动力学影响小，与CEA组比较有显著性差异(PO．05)。结论CSEA可安全有效地应用于高龄人工髋关节置 换手术。 【关键词】麻醉；腰硬联合；人工髋关节置换 [中图分类号】R614 【文献标识码】B The ofcombined anesthesiain artificial spinal—epidural hip surgery application elderly replacement Liu ofanesthesiaHankou Hubei430012． Lili．Department hospital，Wuhan the and ofthe ofcombined anesthesiain Discussingfeasibility [Abslzaet]Objective safety application spinal—epidural artificial 64casesofelectivein elderly hipreplacementsurgery．Method surgeryelderlypatients，ASA2-3，wererandomly dividedintocombined anesthesiaand anesthesia theeffectsof continuous spinal·epiduralgroup epidural group．Observing and．the on Combined fastonsetofactionand 锄esth，esia impacthemodynamics．Result anesthesia，with spinal—epidural small Oil satisfiedwiththe a difference withcontinu- impacthemodynamics，and analgesiceffect，hassignificant compared OtiS anesthesiacanbesafeandeffectivefor artificial epiduraA柚esthesia．Conclusion：Combined spinal-ep