探析腰硬联合麻醉在高龄患者全髋关节置换术中的临床效果.docVIP

精品论文 参考文献 探析腰硬联合麻醉在高龄患者全髋关节置换术中的临床效果 梁玉寿 　　(泰山医学院附属邹平医院麻醉科 256200) 　　【摘要】目的：探讨腰硬联合麻醉在高龄患者全髋关节置换术中的效果。方法：选取2013年1月至2014年1月来我院就诊的80例行全髋关节置换术的高龄患者进行研究，随机分为观察组和对照组，各40例。其中观察组采用腰硬联合麻醉法，对照组则应用硬膜外麻醉，观察两组患者的麻醉诱导时间、手术时间和止痛效果，同时记录术中麻黄碱的用量等来评定临床疗效。结果:两组的诱导时间、手术时间、麻黄碱的用量和术中镇痛效果进行比较，观察组明显优于对照组，差异具有统计学意义(P＜0.05)。结论:腰硬联合麻醉的患者术中见效快，能够提供较长时间的手术麻醉和镇痛，呼吸功能保持较好，对循环系统的影响不大，术后并发症也较少，具有很大的优势，值得在临床上推广应用。 　　【关键词】 腰硬联合麻醉 高龄患者 全髋关节置换术 临床效果 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2014）17-0088-02 　　Analysis of lumbar epidural anesthesia in elderly patients with total hip arthroplasty clinical results 　　LIANG Yu-shou. Department of Anesthesia， People＇Hospital of Zouping County,Shangdong Provence,256200,China 　　【Abstract】Objective : To investigate the lumbar epidural anesthesia in elderly patients with total hip arthroplasty results. Elderly patients selected from January 2013 to January 2014 to our hospital 80 cases of total hip arthroplasty study were randomly divided into observation group and control group, 40 cases ; methods. Which the observation group epidural anesthesia , epidural anesthesia control group , patients were observed induction of anesthesia time , surgery time and analgesic effects while recording intraoperative dosage of ephedrine to assess clinical efficacy. Results: The two groups of induction time , operation time, the amount of ephedrine and intraoperative analgesia were compared , the observation group than the control group, the difference was statistically significant (P lt;0.05). Conclusion: The patients undergoing lumbar epidural anesthesia in quick, able to provide a longer period of anesthesia and analgesia, respiratory function remains good , little effect on the circulatory system , fewer postoperative complications , with great advantage, worthy of clinical application. 　　【Key words】epidural anesthesia elderly patients total hip arthroplasty clinical effects 　　现今社会，随着人们生活水平的提高，人类的寿命也逐渐延长，使得高龄患者