高龄患者髋及下肢手术小剂量单侧腰麻醉效果分析280例  

作　　者：刘峰[1] 刘鹏[1] 夏超云 

机构地区：[1]河南焦作市第二人民医院麻醉科,454001

出　　处：《中国社区医师（医学专业）》2013年第24期40-40,共1页

摘　　要：目的：探讨高龄患者髋及下肢手术小剂量单侧腰麻醉效果。方法：收治髋及下肢手术的高龄患者280例,随机分成A、B两组各10例,两组均采用腰-硬联合麻醉针穿刺,A组注入0.75%布比卡因0.6~1.2ml＋10%葡萄糖0.8~1.5ml之重比重混合液1.5~2.5ml进行麻醉;B组注入0.75%布比卡因1.3~1.8ml＋10%葡萄糖1~2ml之重比重混合液2.5~3.5ml进行麻醉。结果：两组麻醉效果比较：A组麻醉前MAP（111.7±23.7）mmHg,麻醉后（107.5±21.8）mmHg,B组麻醉前（113.3±23.2）mmHg,麻醉后（97.3±24.7）mmHg。A组HR麻醉前（77.4±18.6）次/分,麻醉后（76.6±15.7）次/分,B组麻醉前（76.4±17.5）次/分,麻醉后（73.3±17.0）次/分,B组MAP、HR下降明显,与A组比较差异有统计学意义（P〈0.05）。结论：小剂量单侧腰麻在高龄患者髋及下肢手术麻醉效果好。Objective：We want to investi-gate the effect of the elderly patients with hip and lower extremity operation using small dose of unilateral spinal anesthesia. Methods：We selected 280 patients in 2009 October to 2013 September,and these pa- tients were randomly divided into A,B two groups.All two groups use combined spi-nal-epidural anesthesia.Group A was inject-ed 1.5-2.5ml mixed liquid of anesthesia, the mixture is made up of 0.75% bupiva-caine 0.6-1.2m1＋10% glucose 0.8 - 1.Sml. Group B was injected 2.5 - 3.5ml mixed liq-uid of anesthesi-a,the mixture is made up of 0.75% bupivacaine 1.3 - 1.8ml ＋ 10% glu-cose 1 - 2mhResuhs： The anesthesia effect of two groups is shown as follows：The MAP before anesthesia in group A is 111.7 ±23.7mmHg and is 107.5 ± 21.8mmHg after anesthesia.The MAP before anesthesia in group B is 113.3 ± 23.2mmHg and is 97.3 ± 24.7mmHg after anesthesia.The HR before anesthesia in group A is 77.4 ± 18.6/min and is 76.6 ＋ 15.7/min after anesthesia.The HR before anesthesia in group B is 76.4 ± 17.5/min and is 73.3 ± 17.0/min after anes- thesia.Results show that the B group of MAP and HR decreased significantly,the differ- ence compared with the A group had signifi-cant difference（P 〈 0.05）.Conclusion：The ef-fect of unilateral spinal anesthesia with small dose in elderly patients with hip and lower extremity operation is good,and this method is worth spreading in clinic.

关 键 词：高龄 髋骨 下肢 单侧腰麻 小剂量 

分 类 号：R719.8[医药卫生—妇产科学]