摘要
目的探讨全麻和腰硬联合麻醉在髋关节置换术中的应用效果。方法选择80例髋关节置换手术患者,按麻醉方式分为两组,观察组用腰硬联合麻醉方式,对照组用全麻方式,比较两组患者的麻醉镇痛效果和并发症。结果观察组麻醉的总有效率为96.3%,对照组麻醉的总有效率为92.3%,两组麻醉镇痛效果比较,差异无统计学意义(P>0.05);观察组与对照组相比,麻醉起效时间和阻滞完全时间更短,并发症更少,差异有统计学意义(P<0.05)。结论在髋关节置换术中,全麻和腰硬联合麻醉的镇痛效果无明显差异,但腰硬联合麻醉起效时间和阻滞完全时间短,并发症少,应用安全可靠。
Objective To discuss the application effect of general anesthesia and spinal-epidural anesthesia in hip replacement surgery. Methods 80 patients with hip replacement surgery were selected and divided into the observation group and the control group according to anesthesia approach.Patients in the observation group were given spinal- epidural anesthesia while patients in the control group were given general anesthesia.Narcotic analgesic efficacy and complications were compared between the two groups. Results Total effective rate of anaesthesia in the observation group and the control group was 96.3% and 92.3% respectively with no statistical difference （P〉0.05）.Onset time of anesthesia and completely block time of the observation group was shorter than the control group,and there was fewer complications in the observation group than the control group,the difference was statistically significant （P〈0.05）. Conclusion Analgesic effect of general anesthesia and spinal-epidural anesthesia was no obvious difference,but onset time and completely block time of spinal-epidural anesthesia with few complications is shorter in the hip replacement operation.The spinal-epidural is safe and reliable.
出处
《中国当代医药》
2013年第20期112-113,共2页
China Modern Medicine
关键词
全麻方式
腰硬联合麻醉
髋关节置换术
General anesthesia
Spinal-epidural anesthesia
Hip replacement surgery
