小剂量轻比重腰麻―硬膜外联合麻醉在老年骨折术中应用价值.docVIP

小剂量轻比重腰麻―硬膜外联合麻醉在老年骨折术中应用价值 　　摘 要 目的：分析小剂量轻比重腰麻-硬膜外联合麻醉对老年下肢骨折手术患者的麻醉效果。方法：收集2016年1月―12月收治的老年下肢骨折手术患者68例，分为对照组和观察组各34例。对照组接受连续硬膜外麻醉，观察组接受小剂量轻比重腰麻-硬膜外联合麻醉。观察两组麻醉阻滞起效时间、麻醉阻滞完善时间以及麻醉药物用量。结果：观察组的麻醉阻滞起效时间、麻醉阻滞完善时间和麻醉药物用量分别为（5.3±2.1）s、（6.6±3.0）s和（6.3±1.0）mg，对照组分别为（10.0±4.5）s、（17.1±6.4）s和（34.7±2.5）mg，组间差异均有统计学意义（P0.05）。结论：在老年下肢骨折手术患者的麻醉过程中，小剂量轻比重腰麻-硬膜外联合麻醉能使患者获得更确切的镇痛效果，且神经阻滞完善，麻醉药物用量更少，安全性更高，值得推广应用。 　　关键词 骨折；小剂量；轻比重；腰麻-硬膜外联合麻醉 　　中图分类号：R683.42 文献标志码：A 文章编号：1006-1533（2017）08-0031-02 　　Application value of the small dose and light weight combined spinal epidural anesthesia in the elderly patients with lower limb fracture surgery 　　JIN Yunkai， LIU Jianting 　　（Department of Anesthesiology of People’s Hospital of Dean County， Dean 330400， Jiangxi Province， China） 　　ABSTRACT Objective： To analyze the anesthetic effect of the small dose and light weight combined spinal epidural anesthesia in the elderly patients with lower limb fracture surgery. Methods： From January 2016 to December 2016， 68 cases of lower limb fractures were collected and divided into a control group and an observation group with 34 cases each. The control group received continuous epidural anesthesia， and the observation group received small dose and light weight combined spinal epidural anesthesia， and anesthesia block onset time， anesthesia blockade time and anesthetic dosage were observed between the two groups. Results： In the observation group， anesthesia block onset time， anesthesia blockade time and anesthetic dosage were（5.3±2.1）s， （6.6±3.0）s and （6.3±1.0）mg， in the control group were （10.0±4.5）s， （17.1±6.4）s and （34.7±2.5）mg， respectively， and there was significant difference between the groups（P0.05）. Conclusion： In the process of anesthesia in the elderly patients with lower limb fracture surgery， small dose and light weight combined spinal epidural anesthesia can make patients get more exact analgesic effect， the nerve block is perfect， and security high， which is worthy of popularization a