腰硬联合麻醉和全身麻醉在老年患者髋部手术中的应用观察.docVIP

精品论文 参考文献 腰硬联合麻醉和全身麻醉在老年患者髋部手术中的应用观察 王东 　　（黑龙江省海林市人民医院 157199） 　　【摘要】目的：探讨腰硬联合麻醉和全身麻醉两种麻醉方法在老年患者髋部手术中的应用效果。方法：对2012年6月—2014年6月期间我院收治的168例进行髋部手术老年患者的临床资料进行回顾性研究。将这168例患者随机分为观察组和对照组，每组各有84例患者。这168例患者均进行髋部手术治疗。观察组患者使用腰硬联合麻醉法进行麻醉，对照组患者使用静脉全身麻醉法进行麻醉。然后，比较两组患者术前及术中的各项临床指标、术中出现疼痛的情况及麻醉效果。结果：观察组患者术中的收缩压和心率明显低于对照组患者，二者相比差异具有显著性（P＜0.05）。观察组患者的脉搏氧饱和度与对照组患者相比无显著性差异（P＞0.05）。观察组患者术中疼痛的发生率明显高于对照组患者，二者相比差异具有显著性（P＜0.05）。结论：静脉全身麻醉法可有效降低患者术中的疼痛感，腰硬联合麻醉法可有效减轻患者术后的疼痛感。这说明，腰硬联合麻醉法和静脉全身麻醉法在老年患者进行髋部手术中各有优势，应根据患者的具体情况为其选择合适的麻醉方法。 　　【关键词】腰硬联合麻醉法；静脉全身麻醉法；老年；髋部手术 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2015）03-0070-02 　　Waist hard joint anesthesia and general anesthesia in elderly patients with hip surgery, the application of observation Wang Dong. Hailin peoples hospital of Heilongjiang, Hailin 157199, China 　　【Abstract】Objective Discuss the waist hard joint anesthesia and general anesthesia two methods of anesthesia in elderly patients with hip surgery application effect. Methods In June 2012 to June 2014, 168 cases of our hospital during the period of the clinical data of elderly patients with hip surgery were retrospectively studied. The 168 patients were randomly divided into observation group and control group, 84 patients in each group. The 168 patients were performed hip surgery. For the observation group of patients using waist hard joint anesthesia method for anesthesia, to control patients using intravenous general anesthesia method for anesthesia. Then, to compare two groups of patients in the preoperative and perioperative clinical indicators, intraoperative pain condition and the effect of anesthesia. Results Systolic blood pressure and heart rate in observation group of patients significantly lower than the control group patients, compared the difference is significant (P lt; 0.05). Pulse oxygen saturation observation group patients compared with the control group patients had no significant difference (P gt; 0.05). The incidence rate of intraoperative