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腰硬联合麻醉与全身麻醉对全髋关节置换术患者术后深静脉血栓形成的影响

The Effect of Combined Spinal Epidural Anesthesia and General Anesthesia on Deep Venous Thrombosis in Patients Undergoing Total Hip Arthroplasty
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摘要 目的探讨腰硬联合麻醉与全身麻醉对全髋关节置换术患者术后深静脉血栓形成的影响。方法选择2015年1月至2016年12月于我院行全髋关节置换术治疗的60例患者,采用随机数字表法分为两组,各30例。两组均行全髋关节置换术,对照组实施全身麻醉,观察组行腰硬联合麻醉。比较两组临床指标、血液流变学、深静脉发生率及不良反应发生情况。结果两组手术指标、术后恢复时间比较,差异无统计学意义(P>0.05);观察组全血低切黏度(8.35±0.88)m Pa·s、全血高切黏度(8.45±0.84)m Pa·s、血浆黏度(1.92±0.21)m Pa·s、纤维蛋白原(3.15±0.42)g/L,均低于对照组的(9.65±0.96)m Pa·s、(9.32±0.93)m Pa·s、(2.29±0.35)m Pa·s、(3.87±0.45)g/L,深静脉血栓发生率(3.33%)、不良反应发生率(6.67%)均低于对照组(26.67%、30.00%),差异有统计学意义(P<0.05)。结论全髋关节置换术实施腰硬联合麻醉效果优于全身麻醉,对患者血液流变学影响小,利于降低深静脉血栓及不良反应发生率。 Objective This paper aims to investigate the effect of combined spinal epidural anesthesia and general anesthesia on deep venous thrombosis in patients undergoing total hip arthroplasty.Methods 60 patients with total hip arthroplasty were randomly divided into two groups,30 cases in each group.The control group was given general anesthesia,and the observation group was given combined spinal epidural anesthesia.The clinical indexes,hemorheology,incidence of deep vein and adverse reactions were compared between the two groups.Results There was no significant difference in operation index and postoperative recovery time between the two groups(P>0.05);The whole blood low shear viscosity,whole blood high shear viscosity,plasma viscosity,fibrinogen,incidence of deep venous thrombosis and incidence of adverse reactions in the observation group were lower than those in the control group(P<0.05).Conclusion The effect of combined spinal epidural anesthesia in total hip arthroplasty is better than that of general anesthesia,which has little effect on hemorheology and can reduce the incidence of deep venous thrombosis and adverse reactions.
作者 刘志风
出处 《透析与人工器官》 2017年第3期14-16,共3页 Chinese Journal of Dialysis and Artificial Organs
关键词 全髋关节置换术 腰硬联合麻醉 全身麻醉 深静脉血栓 total hip arthroplasty combined spinal epidural anesthesia general anesthesia deep venous thrombosis
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