摘要
目的探讨椎管内麻醉不同方法具有的临床效果，以期为老年下肢手术患者提供临床依据。方法2014年3月～2016年4月于我院骨科选取78例行择期下肢手术的老年患者，根据麻醉方式的不同分两组（对照组与观察组），各39例；给予对照组连续硬膜外麻醉，观察组腰硬联合麻醉，密切监测麻醉过程中患者血流动力学情况、麻醉效果、不良反应等。结果围手术期各时段两组心率（HR）、血氧饱和度（SP02）、平均动脉压（MAP）等组件无统计学差异（P〉0．05）；麻醉后5min两组均较麻醉前，MAP发生显著下降（P〈0．05）；起效时间、达到最高平面时间、首剂维持时间、不良反应情况，观察组均较对照组更具优势（P〈0．05）。结论较连续硬膜外麻醉相比较，腰硬联合麻醉方式的麻醉效果更佳，安全性更好，更适合下肢手术中老年患者。
Objective To explore the clinical effect of different methods of intravertebral anesthesia, and to provide clinical evidence for elderly patients with lower limb operation. Methods 78 cases of elderly patients undergoing elective lower limb operation in department of orthopaedics of our hospital from March 2014 to April 2016 were selected and divided into control group and observation group with 39 cases in each according to the different ways of anesthesia. Patients in control group were treated with continuous epidural anesthesia,and patients in observation group were treated with combined spinal epidural anesthesia.Hemodynamic status,anesthetic effect, adverse reactions, etc. of patients during the course of anesthesia were closely monitored. Results During the perioperative period, there was no statistical difference between the two groups at each time in the heart rate （HR）, blood oxygen saturation （SPO2）, mean arterial pressure（MAP） and other components（P 〉0.05）.Compared with before anesthesia,MAP of the two groups 5min after anesthesia was significantly decreased（P 〈 0.05）.Onset time,time to reach the highest level, first dose maintenance time, adverse reaction conditions of observation group were better than those of control group （P 〈 0.05）. Conclusion Compared with continuous epidural anesthesia, the anesthetic effect of combined spinal epidural anesthesia is better, the security is better, and it is more suitable for lower limb operation in elderly patients.
出处
《中国医药科学》
2016年第15期156-158,185,共4页
China Medicine And Pharmacy
关键词
下肢手术
椎管内麻醉
老年患者
硬膜外
腰硬联合
Lower limb operation
Intravertebral anesthesia
Elderly patients
Epidural
Combined spinal epidural
