摘要
目的 :探讨适合老年病人股骨手术的椎管内麻醉方式。方法 :选择老年病人 63例 ,把病人分成 3组 :持续硬膜外麻醉组 (EA组 ) 2 1组 ,腰硬联合麻醉组 (CSEA组 ) 1 9例 ,单侧腰麻复合硬膜外麻醉组 (OCSEA组 )2 3例 ,分别作硬膜外麻醉、常规腰麻及单侧腰麻复合硬膜外麻醉 ,比较麻醉平面 ,麻醉效果及血压变化的情况。结果 :硬膜外麻醉组的麻醉效果略差于另 2组 ,CSEA组和OCSEA组的麻醉平面比EA组更易控制 ,OCSEA组的循环比其它 2组更稳定。结论 :小剂量、小容量、单侧腰麻复合硬膜外麻醉更适合老年病人下肢手术的麻醉。
Objective: Comparison different spinal analgesia methods in old patient’s fernur surgical operation. Methods: 63 old patients divided into 3 groups: EA group 21 cases, CSEA group 19 cases, OCSEA group 23 cases, the epidural analgesia, general spinal analgesia and combined single side spinal analgesia and epidural analgesia, were used to know the anesthetic effects and the blood pressure. Results: EA group anaesthetize effect is slightly inferior than other two groups, CSEA group and OCSEA group anaesthetize plane are more easily controlled than EA group, OCSEA group circulate is more stabilization than other two groups. Conclusion: Single side spinal analgesia combined with epidural analgesia and little dose, little content are more suitable for old patient’s femur surgical operation.
出处
《四川生理科学杂志》
2004年第2期51-53,共3页
Sichuan Journal of Physiological Sciences
