摘要
目的观察不同麻醉方法在老年髋部手术中的应用效果。方法将2017年1月1日—6月30日收治的80例行髋部手术的老年患者随机分成A组和B组,40例/组。A组实施全身麻醉,B组采取硬膜外麻醉。比较两组不同时间点的心率、动脉压以及术中麻黄碱、去氧肾上腺素需求情况和低血压发生情况、麻醉效果。结果在骨水泥填充前后,A组心率、动脉压未发生变动(P>0.05),B组变化明显(P<0.05),A组麻黄碱、去氧肾上腺素需求率和低血压发生率低于B组,麻醉优良率较B组更高(P<0.05)。结论在老年髋部手术中建议采取全身麻醉。
Objective To observe the effect of different anesthesia methods on hip surgery in the elderly. Methods 80 elderly patients undergoing hip surgery were randomly divided into group A and group B, from January 1 to June 30 in 2017, with 40 patients in each group. Group A received general anesthesia, and group B took epidural anesthesia. The heart rate, arterial pressure, the requirement of ephedrine and phenylephrine, the occurrence of hypotension and the effect of anesthesia were compared between the two groups at different time points. Results Before and after filling with bone cement, heart rate, arterial blood pressure of A group did not change obviously （P 〉 0.05）, B group changed significantly （P 〈 0.05）, ephedrine and phenylephrine demand rate and the incidence of hypotension of A group were lower than that of group B, anesthesia excellent rate were higher in the B group （P 〈 0.05）. Conclusion General anesthesia is recommended in elderly hip surgery.
出处
《中国卫生标准管理》
2017年第18期119-121,共3页
China Health Standard Management
关键词
麻醉
老年
髋部手术
anesthesia
aged
hip surgery
