摘要
目的观察腰硬联合麻醉在老年病人下肢手术中的应用。方法择期下肢手术老年患者60例随机分为布比卡因腰麻-硬麻联合麻醉组(A组)和利多卡因与罗哌卡因硬膜外麻醉组(B组),每组30例进行手术。观察两组麻醉起效、完善时间,局麻药用量,麻醉前后血流动力学变化。结果A组局麻药用量明显少于B组,感觉阻滞起效时间、阻滞完善时间明显短于B组。两组血流动力学变化比较差异无统计学意义。结论腰硬联合麻醉用于老年患者下肢手术安全可行。
Objective Observation of spinal-epidural anesthesia in elderly patients with lower extremity surgery. Methods Elective lower extremity surgery were randomly divided into 60 cases of elderly patients with bupivacaine - Hard anesthesia combined anesthesia group （A group） and lidocaine and ropivacaine epidural anesthesia group （B group）, 30 cases in each group surgery. Onset of anesthesia were observed, perfect time for local anesthetic dosage, hemodynamic changes before and after anesthesia. Results A group of local anesthetic dosage was less than B group, sensory block onset time, improve the time of arrest was significantly shorter in the B group. Hemodynamic changes in the two groups no significant difference. Conclusion Combined spinal and epidural anesthesia for lower extremity surgery in elderly patients is feasible and safe.
出处
《当代医学》
2010年第10期93-94,共2页
Contemporary Medicine
关键词
腰硬联合麻醉
老年
下肢手术
布比卡因
combined spinal and epidural anesthesia
old
lower extremity surgery
bupivacaine
