腰硬联合麻醉在80岁以上老年人下肢手术中的应用  

Applications of Combined Spinal and Epidural Anesthesia in Lower Limb Operation for Patients Aged 80 or Over

作　　者：李沁 

机构地区：[1]湖南省长沙市一医院麻醉科,长沙410005

出　　处：《中国现代手术学杂志》2007年第2期138-140,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨腰硬联合麻醉在80岁以上高龄老人下肢手术中应用的可行性和安全性。方法42例80岁以上择期行下肢手术患者,ASAⅡ～Ⅲ级,随机分为连续硬膜外麻醉(contineous epi-dural anesthesia,CEA)组和腰硬联合麻醉(combined spinal and epidural anesthesia,CSEA)组,观察麻醉效果、对血流动力学的影响及其不良反应。结果CSEA麻醉起效快,镇痛效果满意,阻滞平面较低,肌肉松弛,不良反应少,应用升压药及辅助药物的例数少,与CEA组比较有显著性差异(P<0.05)。结论CSEA可安全有效地应用于80岁以上高龄老人下肢手术。Objective To explore the feasibility and safety of combined spinal and epidural anesthesia （CSEA） in lower limb operation for patients aged 80 or over. Method 42 cases aged 80 or over with ASA Ⅱ - Ⅲ underwent lower limb operations were randomely divided into continous epidural anesthesia（CEA） group and CSEA group,21 cases for each. Anesthesia efficacy, hemodynamic influence, and side effect were observed. Result Compared with CEA group, CSEA had significant effects of fast anesthesia, good analgesia, low blockage plane, fine muscle relaxation, little adverse effects, and less patients comsuming the pressor agents and adjunctive drugs（P 〈 0.05 ）. Conclusion CSEA is safe and effective for lower limb operation in patients aged 80 or over.

关 键 词：麻醉 硬膜外 老年人 80以上 

分 类 号：R614.4[医药卫生—麻醉学]