对比全麻与腰硬联合麻醉在髋关节置换术中应用效果.docVIP

对比全麻与腰硬联合麻醉在髋关节置换术中应用效果 　　[摘要] 目的 为了深入对比分析在髋关节置换术中全麻与腰硬联合麻醉的治疗效果。方法 选取2010年6月―2014年6月在该院接受髋关节置换术的病患80例，将这些病患随机分成两组，治疗组与对照组，每组共有病患40例，为治疗组中的病患提供腰硬联合麻醉，为对照组中的病患提供气管插管全身麻醉，对比两组病患的麻醉效果。结果 治疗组中病患的麻醉总有效率为92.5%高于对照组82.5%的麻醉总有效率，差异有统计学意义（P0.05）；治疗组术后1、3、5 h的血压情况分别是（126±19）mmHg、（121±7）mmHg、（119±13）mmHg低于对照组中病患的血压，差异有统计学意义（P0.05）；同时治疗组中病患的麻醉起效时间为（47.3±14.2）s低于对照组（227.9±19.4）s的起效时间，差异有统计学意义（P0.05）。结论 在髋关节置换术中，腰硬联合麻醉不仅麻醉效果好，而且安全系数高，在临床治疗中可以推广使用。 　　[关键词] 髋关节置换术；腰硬联合麻醉；全身麻醉；麻醉效果 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742（2014）11（c）-0042-03 　　[Abstract] Objective To further compare and analyze the therapeutic effect between general anesthesia and combined spinal-epidural anesthesia applied to hip replacement. Methods 80 patients underwent hip replacement in our hospital from June 2010 to June 2014 were randomly divided into two groups， the treatment group and the control group with 40 patients in each. Combined spinal-epidural anesthesia was given to the treatment group， and tracheal intubation general anesthesia was given to the control group. And the anesthetic effect was compared between the two groups. Results The total efficiency of anesthesia of the treatment group was 92.5%， higher than 82.5% of the control group with statistically significant difference（P0.05）； the blood pressure of the treatment group 1、3、5h after the operation was（126±19）mmHg，（121±7）mmHg， （119±13）mmHg， respectively， lower than that of the control group， respectively with statistically significant difference（P0.05）； the onset time of anesthesia of the treatment group was （47.3±14.2）s， shorter than （227.9±19.4）s of the control group with statistically significant difference（P0.05）. Conclusion For hip replacement， combined spinal-epidural anesthesia has better anesthetic effect and higher safety， which can be promoted in the clinical treatment. 　　[Key words] Hip replacement； Combined spinal-epidural anesthesia； General anesthesia； Anesthetic effect 　　在临床治疗中，髋关节置换术通常使用两种麻醉方法，分别为气管插管全身麻醉与腰硬联合麻醉，其中较为常用的麻