摘要
目的探讨腰麻联合硬膜外麻醉在髋关节置换手术中的效果。方法 80例拟行髋关节置换手术患者随机分为腰-硬膜麻醉组(CSEA)和硬膜外麻醉组(EA),各40例。观察两组麻醉起效时间、镇痛和肌松效果以及局麻药物的辅助应用、SpO2的变化。结果 CSEA组较EA组起效快、镇痛及肌松弛效果优良,术中辅助局麻和静脉麻醉药物用量少(P<0.01)。结论 CSEA在髋关节置换中具有良好的麻醉效果,术后不良反应较少,值得临床推广,
Objective To investigate the spinal anesthesia combined with epidural anesthesia effect in hip replacement surgery. Methods 80 patients who underwent hip replacement surgery patients were randomly divided into the waist-subdural anesthesia group （ CSEA ） and epidural anesthesia group （ EA ）, 40 cases in each. Auxiliary applications from the two groups of anesthetic onset time, analgesia and muscle relaxation, as well as the local anesthetic, SpO2 changes were observed. Results CSEA group than the EA group from the rapid onset of analgesia and muscle relaxation effect was excellent, assisted local anesthesia and intravenous an- esthetics in surgery with less （P 〈 0. 01 ）. Conclusion CSEA hip replacement has a good anesthetic effect, which is fewer postoperative adverse worthy of clinical.
出处
《中国实用医药》
2013年第8期39-40,共2页
China Practical Medicine
关键词
置换
髋关节
麻醉
脊柱
Replacement
Hip
Anesthesia
Spine
