摘要
目的观察单侧腰麻在高龄患者髋关节置换手术应用的麻醉效果及其对血流动力学的影响。方法选择年龄80~99岁,ASA分级Ⅱ~Ⅲ级行髋关节置换手术的患者40例,随机分成分两组,单侧腰麻组（A组）和常规腰麻组（B组）,均以0.375%重比重布比卡因2mL为麻醉药,分别评定麻醉效果,记录两组麻醉起效时间、阻滞平面术始、术毕双下肢的Bromage评分及不良反应。结果两组患者术中麻醉效果均满意。A组低血压、尿潴留发生率明显低于B组（P〈0.05）,A组各时点健肢Bromage评分明显低于患肢（P〈0.05）,两组患者麻醉起效时间、麻醉平面及维持时间差异无统计学意义（P〉0.05）。结论单侧腰麻用于高龄患者髋关节置换手术麻醉效果好,对患者血流动力学影响小,不良反应少,是一种效果好而可行的麻醉方法。
Objective To determine the effect of unilateral spinal anesthesia with hip replacement surgery on very elderly patients. Methods Forty patients aged 80 to 99 years old undergoing hip replacement surgery were devided randomly into two groups with 20 cases each and both received hyperbaric 0. 375% bnpivacaine 2ml. Group A received unilateral spinal anesthesia and group B received general spinal anesthesia. The anesthetic effect and Bromage score were recored. Results All patients achieved satisfactory block. The incidence of hypotension and uroschesis in group A were lower than that in group B （ P 〈 0. 05 ）. The Bromage score of right lower limb were lower than those the broken one in group A （ P 〈 0. 05 ）. Conclusion Unilateral spinal anesthesia with hip replacement surgery on very elderly patients provided less hemodvnamic changes and lass complications.
出处
《四川医学》
CAS
2014年第8期987-989,共3页
Sichuan Medical Journal
关键词
单侧腰麻
高龄
髋关节置换
unilateral spinal anesthesia
very elderly
hip replacement surgery
