老年骨科患者腰硬联合麻醉的临床效果及安全性研究.pdfVIP

第 1 卷第 11 期 科 技 与 健 康 Vol.1 No.11 2022 年 11 月 Technology and Health Nov.2022 老年骨科患者腰硬联合麻醉的临床效果及 安全性研究 张 静 （陕西省榆林市靖边县人民医院麻醉科，陕西榆林 718500 ） 摘 要： 研究了将腰硬联合麻醉应用于老年骨科患者的临床效果以及麻醉方式安全性。回顾陕西省榆林市靖边县人 民医院在2019年4月—2021年收治的62例老年骨科患者临床资料，依照随机数表法，将其分成对照组和研究组，每组各 31例。对照组应用全麻，研究组应用腰硬联合麻醉，对比两组患者麻醉时间指标、生理指标和不良反应发生率。研究发 现，腰硬联合麻醉具备在老年骨科手术中应用的可行性，可减少麻醉起效时间，维持患者各项生理指标的稳定，并降低 不良反应发生率，值得广泛推广。 关键词：老年；骨科；腰硬联合麻醉；麻醉时间指标；心率 中图分类号：R614 文献标识码：A Clinical Effi cacy and Safety of Combined Spinal Epidural Anesthesia in Elderly Orthopaedic Patients ZHANG Jing (Department of Anesthesiology, Jingbian Country People’s Hospital, Yulin, Shaanxi 718500) Abstract: The clinical eff ect and safety of combined spinal and epidural anesthesia in elderly orthopedic patients were studied. Reviewing the clinical data of 62 elderly orthopaedic patients admitted to Jingbian County People’s Hospital from April 2019 to 2021, they were divided into a control group and a research group according to the random number table method, with 31 patients in each group. General anesthesia was used in the control group, and combined spinal and epidural anesthesia was used in the study group. Anesthesia time index, physiological index and adverse reaction rate were compared between the two groups. The study found that combined spinal and epidural anesthesia is feasible in elderly orthopedic surgery, which can reduce the onset time of anesthesia, maintain the stability of patients’ physiological indicators, and reduce the incidence of adverse reactions. It is worth popularizing widely.