摘要
目的探究硬膜外麻醉与联合麻醉（腰麻加硬膜外麻醉）对老年下肢骨折患者临床预后的影响。方法选取2012~2014年扬州友好医院接受下肢手术的94例老年患者为研究对象,根据手术时麻醉方式不同,分为观察组和对照组各47例,观察组采取联合麻醉法,对照组采取硬膜外麻醉法。观察两组患者在手术时麻醉起效时间以及麻醉效果等指标。结果观察组患者麻醉指标,手术时用药物情况,麻醉效果以及Bromage评分均明显优于对照组,差异有统计学意义（P〈0.05）。结论联合麻醉法对老年下肢骨折患者有较好的麻醉效果,且起效时间快,不良反应少,预后好,值得临床推广应用。
Objective To explore impact of epidural anesthesia and combined anesthesia for clinical prognosis in patients with lower limb fracture,to provide a reference for medical research data.Methods A total of 94 elderly patients with lower limb surgery were recruited in this study from 2012 to 2014 in Yangzhou Frien dship Hospital,according to different methods of anesthesia,the patients were divided into the observation group（n=47）who were adopted combined anesthesia method,patients in the control group（n=47）were adopted epidural anesthesia,observed surgical anesthesia effect time and anesthesia effect index,and recorded in detail the adverse reactions as well as the prognosis of patients after surgery in patients of the two groups.Results Anesthesia indicators,drug usage,anesthes ia effects,bromage scale in patients of the observation group were significant better than those in the control group,the differences were statistical significant（P〈0.05）.Conclusion Combined anesthesia has good anesthesia effcacy on old patients with lower limb fracture,with fast anesthesia reaction,less adverse reaction,good prognosis.
出处
《检验医学与临床》
CAS
2015年第10期1345-1346,共2页
Laboratory Medicine and Clinic
基金
江苏省自然科学基金资助项目(BK2010588)
关键词
硬膜外麻醉
腰麻
老年
下肢骨折
epidural anesthesia
anesthesia
old age
lower limb fracture and prognosis
