摘要
目的:探讨腰-硬膜外联合麻醉(CSEA)用于高龄患者的可行性。方法:40例下肢手术高龄患者被随机分成CSEA组和硬膜外麻醉(EA)组,每组20例。CSEA组采用腰-硬膜外联合麻醉,EA组采用常规硬膜外麻醉。观察:①两组的麻醉起效时间、阻滞完善时间及硬膜外用药量;②两组术后并发症,如头痛,恶心、呕吐,尿潴留等。结果:与EA组比较,CSEA组麻醉起效时间及麻醉阻滞完善时间明显缩短(P<0.01),硬膜外用药量显著降低(P<0.01)。结论:腰-硬膜外联合麻醉对高龄患者循环干扰少,麻醉效果满意,是一种安全、可靠的麻醉方法。
Objective： To investigate the feasibility of combined spinal epidural anesthesia （CSEA） for elderly patients. Methods： Fourty elderly patients proceeding lower limbs operation were divided randomly into CSEA group and EA group, 20 cases in each group. Combined spinal epidural anesthesia was used in CSEA group, and routine epidural anesthesia was used in EA group. Start time, complete block time, epidural drug dosage, and postoperative complications such as headache, nausea, vomiting, and urinary retention were observed. Results： The start time, complete block time, and epidural drug dosage in CSEA group were decreased markedly compared with EA group（all P 〈0.01 ）. Conclusion： CSEA is a satisfactory and reliable method for elderly patients.
出处
《海南医学院学报》
CAS
2008年第4期418-419,共2页
Journal of Hainan Medical University
关键词
麻醉
脊髓
麻醉
硬膜外
老年人
Anesthesia, spine
Anesthesia, epidura
Elderly patients
