摘要
目的探讨不同麻醉方式在老年胫、腓骨骨折内固定术中的应用及麻醉效果。方法将64例老年胫、腓骨骨折患者分为硬-腰组(36例)和全麻组(28例),分别给予硬-腰联合麻醉和气管插管全身麻醉,观察两组患者血压、心率及血氧饱和度变化情况。结果两组患者不同时间点血压、心率及血氧饱和度变化情况比较均无显著性差异(P>0.05)。结论硬-腰联合麻醉与气管插管全身麻醉用于老年患者胫、腓骨骨折内固定术,均具有较好的麻醉效果,临床医师可根据患者个体情况选择合适的麻醉方案。
Objective To investigate the application and efficacy of different anesthetic methods in the internal fixation for elderly patients with tibiofibular fracture. Methods Sixty-four aged patients with tibiofibluar fracture were divided into CAEA group （ n = 36） and treated with CSEA and general anesthesia group （ n = 28） and treated with the general anesthesia of endotracheal intubations. Blood pressure, heart rate and saturation of blood oxygen of the patients in both groups were observed. Results There was no significant difference in blood pressure, heart rate and saturation of blood oxygen of the patients in both groups at different points of time （ P 〉 0.05 ）. Conclusion There are satisfactory anesthetic effects about CSEA and general anesthesia of endotracheal intubations in internal fixation for the aged patients with tibiofibular fracture. Clinicians can apply the proper anesthetic scheme according to the patient＇s actual conditions.
出处
《白求恩军医学院学报》
2013年第1期13-14,共2页
Journal of Bethune Military Medical College
关键词
老年胫
腓骨骨折
硬-腰联合麻醉
气管插管全身麻醉
Elderly patients with tibiofibular fracture
CSEA
General anesthesia of endotracheal intubation
