摘要
老年人是发生髋部骨折的主要人群,髋关节置换术是治疗老年人髋部骨折的主要方法。加速康复(enhanced recovery after surgery,ERAS)理念的推广,对髋关节置换术麻醉方式提出了新的要求,现简要介绍ERAS在髋关节置换术围术期的应用,主要探讨ERAS理念下麻醉方法选择的依据和新技术应用的价值评价体系。对全身麻醉、椎管内麻醉、周围神经阻滞及其联合应用进行比较,并提出ERAS理念下不同麻醉方式的发展优化方向。
Elderly people are the main group of hip fractures.Hip arthroplasty is the main method to treat hip fractures in the elderly.The promotion of enhanced recovery after surgery(ERAS)has been putting forward new requirements for the anesthesia of hip arthroplasty.This review briefly introduces the application of ERAS in the perioperative period of hip replacement surgery;mainly discusses the basis for the selection of anesthesia methods under the ERAS concept and the value evaluation system of the application of new technologies.General anesthesia,intraspinal anesthesia,peripheral nerve block and their combined application were compared and the direction of development and optimization of different anesthesia methods under the ERAS concept is proposed.
作者
孙天培
高旗
王颖
SUN Tianpei;GAO Qi;WANG Ying(College of Clinical Medicine,Hebei University,Baoding 071000,China;Affiliated Hospital of Hebei University,Baoding 071000,China)
出处
《医学研究与教育》
CAS
2021年第5期1-6,共6页
Medical Research and Education
基金
河北省医学科学研究基金项目(20210489)。
关键词
髋关节置换术
麻醉方式
加速康复
hip arthroplasty
anesthesia method
enhanced recovery after surgery
