老年下肢骨折手术病人连续腰麻与连续硬膜外麻醉对循环功能的影响比较  

Comparison of Effects of Continuous Spinal Anesthesia and Continuous Epidural Anesthesia on Circulatory Function in Elderly Patients with Lower Limb Fracture Surgery

作　　者：黄珍[1] 李宇峰[1] 

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《临床医学工程》2015年第3期323-324,共2页Clinical Medicine & Engineering

摘　　要：目的探讨对老年下肢骨折手术患者实施连续腰麻(CSA)与连续硬膜外麻醉(CEA)后对循环功能的影响。方法选择86例老年下肢骨折手术患者为研究对象并分为CSA组和CEA组,每组43例,对比两组患者的手术时间、麻醉剂使用量、麻醉达效时间、麻醉效果、麻醉前后的心率、舒张压和收缩压。结果两组患者麻醉前后的收缩压、舒张压组内比较与麻醉后组间比较差异有统计学意义(P<0.05);在麻醉效果和麻醉前后的心率上无统计学差异(P>0.05);CSA组的达效时间和手术时间较CEA组短,麻醉剂使用量较CEA组少(P<0.05)。结论连续腰麻对老年下肢骨折手术患者循环功能的影响更小。Objective To investigate the effects of continuous spinal anesthesia（CSA） and continuous epidural anesthesia（CEA） on circulatory function in elderly patients with lower limb fracture surgery. Methods Eighty-six cases of elderly patients with lower limb fracture surgery were divided into CSA group and CEA group, with 43 cases in each group. The operative time, anesthetic amount, onset time of anesthesia, anesthetic effect, heart rate, diastolic and systolic blood pressures before and after anesthesia were compared between two groups. Results For these two groups, the differences in the intra-group comparison of systolic and diastolic blood pressures before and after anesthesia, as well as in the inter-group comparison after anesthesia were statistically significant（P〈0.05）. The differences in the anesthetic effect and the heart rate before and after anesthesia were not statistically significant（P〈0.05）. The onset time of anesthesia and operative time in CSA group were shorter than those in CEA group, while the anesthetic amount in CEA group was higher than that in CSA group（P0.05）. Conclusions The impact of CSA on the circulatory function is smaller in elderly patients with lower limb fracture surgery.

关 键 词：老年下肢骨折手术 连续腰麻 连续硬膜外麻醉 循环功能 

分 类 号：R614[医药卫生—麻醉学] R683.42[医药卫生—外科学]