对比2种麻醉方式用于髋关节置换术的效果  

Comparison of Two Anesthesia Methods for Total Hip Replacement Effect

作　　者：杨小立[1] 陈莉[2] 陈家华[1] 何志权[1] 谭婉仪 

机构地区：[1]东莞市太平人民医院麻醉科,广东东莞523905 [2]东莞市虎门医院妇产科

出　　处：《中国伤残医学》2014年第9期5-6,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:对髋关节置换术中应用2种麻醉方式的麻醉效果进行分析。方法:选取行髋关节置换术患者48例,随机分为对照组与观察组各24例,对照组给予连续腰麻,观察组给予腰硬联合麻醉,对比2组麻醉效果。结果:2组均未出现严重并发症,观察组麻醉起效时间与BMS 3分出现时间显著短于对照组,最高锐痛阻滞平面显著高于对照组(P<0.05),麻醉效果显著优于对照组(P<0.05)。结论:在髋关节置换中应用腰硬联合麻醉可实现良好麻醉效果,经济实用且安全性高,值得在临床中推广。Objective：To investigate the effect of total hip arthroplasty in the application of two kinds of anesthesia methods of analysis.Methods：From 2011 May to 2013 August in 48 cases in our hospital for hip replacement patients , were randomly di-vided into control group and observation group with 24 cases in each group, the control group was given continuous spinal anes-thesia, the observation group were given combined spinal epidural anesthesia , compared two groups of anesthesia.Results：The two groups had no severe complications, the observation group onset time of anesthesia and BMS 3 appeared time was significant-ly faster than the control group, the sharp pain block level was significantly higher than that of control group （P〈0.05）, anes-thesia effect was significantly better than the control group （P〈0.05）.Conclusion：in total hip replacement in the application of combined spinal epidural anesthesia can achieve good anesthetic effect , economy and practicality and high safety , is worthy to be popularized in clinic .

关 键 词：髋关节置换术 连续腰麻 腰硬联合麻醉 

分 类 号：R614[医药卫生—麻醉学]