腰麻-硬膜外联合麻醉在高龄患者人工股骨头置换术中的应用  

Combined spinal-epidural anesthesia for the eld patients in artificial femoral head replacement

作　　者：许世萍[1] 彭成为[1] 郑敏薛 锐付俊 钟和英[1] 王清秀[1] 

机构地区：[1]郧阳医学院附属人民医院麻醉科十堰市老年病研究所,442000

出　　处：《中国老年保健医学》2007年第3期22-24,共3页Chinese Journal of Geriatric Care

摘　　要：目的探讨腰麻-硬膜外联合麻醉(CSEA)用于高龄患者人工股骨头置换手术的可行性。方法将30例72岁以上患者随机分为腰麻-硬膜外联合麻醉组(CSEA组,n=16)和硬膜外组(EA组,n=14),记录麻醉起效时间,镇痛效果,阻滞平面及注药前、注药时、注药后15min、30min及术毕几个时间点的收缩压(SDB)、舒张压(DBP)、心率(HR)的变化。结果CSEA组麻醉过程比EA组平稳,麻醉起效时间明显缩短,镇痛完善,肌松好,血流动力学影响小。结论CSEA用于高龄患者人工股骨头置换手术,只要应用得当,可达到安全可靠、满意的麻醉效果。Objective To explore the feasibility of combined spinal-epidural anesthesia for the eld patients in artificial femoral head replacement. Methods Thirty patients which age was exceed 72 years old were divided randomizedly into two groups: group CSEA(n = 16), received combined epidura-spinal anaesthesia; group EA( n = 14), received simple epidural anesthesia. Record the time to become effective and the analgesia effect and the blockage segment . Systolic blood pressure (SBP) 、diastolic blood pressure (DBP) 、heart rate (HR) were observed before administration and after administration 15min、 30min and the end of the operation. Results By combined spinal and epidural anesthesia, patients were smooth without serious adverse reaction,hemodynamics was relatively stable.It was superior to the epidural anesthesia in anesthetic induced time and operative time and with better muscle relaxation.Conclusions Combined spinal and epidural anesthesia is an effictive and safe technique for artificial femoral head replacement.

关 键 词：脊髓麻醉 硬膜外麻醉 高龄患者 人工股骨头置换术 

分 类 号：R614[医药卫生—麻醉学]