摘要
目的探讨腰硬联合麻醉用于人工全膝关节置换术的临床疗效。方法整群选取该院2013年1月—2015年1月期间外科人工全膝关节置换术患者98例,采用随机数字表法将其分为观察组与对照组,观察组50例,采用腰硬联合麻醉,对照组48例,采用全身麻醉。比较两组患者术后疼痛程度与手术期间血流动力学。结果观察组术后6、24、48 h VAS评分均明显低于对照组,下肢血流信号异常率明显低于对照组,比较差异有统计学意义(P<0.05)。麻醉前与手术结束时,两组患者平均动脉压与心率水平比较差异无统计学意义(P>0.05)。结论腰硬联合麻醉用于人工全膝关节置换术的临床疗效显著,有助于显著改善术后镇痛效果,降低血栓形成风险,值得临床推广应用。
Objective To investigate the clinical effect of combined spinal-epidural anesthesia on artificial total knee arthroplasty. Methods 98 patients underwent artificial total knee arthroplasty in the Department of Surgery of our hospital from January 2013 to January 2015 were randomly divided into observation group and control group by random number table method. 50 cases in the observation group were treated by combined spinal-epidural anesthesia, and 48 cases in the control group were treated by general anesthesia. The postoperative pain and intraoperative hemodynamics in the two groups were compared. Results The VAS scores were much lower in the observation group than those in the control group 6 h, 24 h and 48 h after the surgery with statistically significant difference（P0.05）. The abnormal rate of blood flow in the lower extremity was obviously lower in the observation group than that in the control group with statistically significant difference（P 0.05）. The difference in the mean arterial pressure and heart rate before anesthesia and at the end of the surgery between the two groups was not statistically significant（P0.05）. Conclusion Combined spinal-epidural anesthesia applied to the artificial total knee arthroplasty has significant clinical curative effect, which is helpful to improve the postoperative analgesic effect and reduce the risk of thrombosis, so it is worthy of clinical application and promotion.
出处
《中外医疗》
2016年第5期49-51,共3页
China & Foreign Medical Treatment
关键词
腰硬联合麻醉
全身麻醉
人工全膝关节置换术
Combined spinal-epidural anesthesia
General anesthesia
Artificial total knee arthroplasty
