摘要
目的:探讨对高龄患者行股骨头置换术时单纯硬膜外阻滞与硬腰联合阻滞的效果与安全性。方法:对在我院行股骨头置换术的120例80岁以上的高龄患者的临床治疗资料进行回顾性分析,将其分为观察组和对照组各60例,其中对照组患者采用硬膜外阻滞麻醉的方式,观察组患者腰硬联合阻滞麻醉的方式,观察麻醉后两组患者的阻滞情况、麻醉效果及不良反应,并进行记录对比分析。结果:观察组的麻醉效果、到达最高阻滞平面时间、运动阻滞程度Bromage分级评分均明显优于对照组,两组比较差异有统计学意义(P<0.05),观察组不良反应发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:采用腰硬联合阻滞的麻醉方式对高龄患者行股骨头置换术临床效果和安全性优于单纯硬膜外阻滞,值得在临床中进一步推广使用。
Objective：To investigate the efficacy and safety of spinal-epidural anesthesia and epidural anesthesia for the elderly patients with femoral head replacement .Method：The clinical data of 120 elderly patients with femoral head replacement of over 80 years were retrospectively analyzed , they were divided into observation group and control group , and each group had 60 cases, The control group was treated with epi-dural anesthesia , while the observation group was given spinal-epidural anesthesia .The anesthesia block sit-uation, the anesthetic effect and adverse reaction were compared between the two groups .Result：The anes-thetic effect, reaching the highest block plane time and degree of motor block Bromage grading score of the obsrvation group were significantly better than the control group , the differences were statistically significant （P＆lt;0.05）, the incidence of adverse reactions in the observation group was significantly lower than the con -trol group, the difference was statistically significant （P＆lt;0.05）.Conclusion：The efficacy and safety of spi-nal-epidural anesthesia for the elderly patients with femoral head replacement is better than the epidural an -esthesia method , and it is worth to be further promoted in clinical .
出处
《河北医学》
CAS
2014年第4期552-554,共3页
Hebei Medicine
关键词
高
龄
股骨头置换术
硬膜外麻醉
腰硬联合麻醉
Elderly patients
Femoral head replacement
Epidural anesthesia
Spinal-epidural anesthesia
