摘要
目的探讨腰硬联合麻醉在高龄人工髋关节置换手术中应用的可行性和安全性。方法64例高龄择期手术患者ASAⅡ-Ⅲ级,随机分为腰硬联合麻醉(Combinedspinal and epiduralanesthesia,CSEA)组和连硬外麻醉(continu-ous epidural anesthesia,CEA)组。观察麻醉效果及对血流动力学影响。结果CSEA麻醉起效快,镇痛效果满意,对血流动力学影响小,与CEA组比较有显著性差异(P<0.05)。结论CSEA可安全有效地应用于高龄人工髋关节置换手术。
Objective Discussing the feasibility and safety of the application of combined spinal-epidural anesthesia in elderly artificial hip replacement surgery. Method 64 cases of elective surgery in elderly patients,ASA2-3,were randomly divided into combined spinal-epidural anesthesia group and continuous epidural anesthesia group.Observing the effects of anesthesia and the impact on hemodynamics. Result Combined spinal-epidural anesthesia,with fast onset of action and small impact on hemodynamics,and satisfied with the analgesic effect,has a significant difference compared with continuous epidural anesthesia. Conclusion：Combined spinal-epidural anesthesia can be safe and effective for elderly artificial hip replacement surgery.
出处
《生物骨科材料与临床研究》
CAS
2009年第1期37-38,共2页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
麻醉
腰硬联合
人工髋关节置换
Anesthesia
Combined spinal-epidural,Artificial hip replacement
