两种麻醉方式在髋关节手术中的临床比较  

Clinical Comparison of Two Kinds of Anesthesia for Hip Surgery

作　　者：崔丹[1] 袁士博[2] 姚欣哲[2] 牛运祺[2] 都兴伟[2] 李晓伟[2] 

机构地区：[1]黑龙江省大庆油田总医院麻醉科,163311 [2]黑龙江省大庆市人民医院,163316

出　　处：《中国卫生标准管理》2015年第16期166-167,共2页China Health Standard Management

摘　　要：目的比较两种不同麻醉方式对髋关节手术围手术期的影响。方法将于我院行髋关节手术患者60例,随机分为两组,其中A组30例采用静脉麻醉联合吸入麻醉,B组采用腰-硬联合麻醉。观察两组患者麻醉起效时间及术前、麻醉后30 min、术后心率和血氧饱和度变化。结果 A组麻醉后30 min血氧饱和度及心率均有明显降低,与B组同期比较同样存在统计学差异(P<0.05)。结论静脉复合吸入麻醉的血流动力学稳定性不如腰-硬联合麻醉,提示术前应首先考虑腰-硬联合麻醉。对于临床上有穿刺困难情况,静脉复合吸入麻醉仍是较好的选择。Objective To compare the effect of two different ways of anesthesia for hip surgery. Methods 60 patients with hip joint operation in our hospital were randomly divided into two groups, 30 cases in Group A were treated with intravenous anesthesia combined with inhalation anesthesia, 30 cases in Group B was treated with spinal-epidural anesthesia. The heart rate and oxygen saturation before anesthesia, 30 min after anesthesia, post operation and anesthesia onset time between two groups were recorded. Results The blood oxygen saturation and heart rate at 30 min after intubation in group A were significantly decreased, and lower than that at the same time of group B（P〈0.05）. Conclusion The hemodynamic stability of intravenousinhalational anesthesia was lower than that of spinal-epidural anesthesia, so the first consideration is spinal-epidural anesthesia. For the clinical puncture difficulties, the intravenous-inhalational anesthesia is still the better choice.

关 键 词：髋关节手术 静脉麻醉 吸入麻醉 腰-硬联合麻醉 

分 类 号：R614[医药卫生—麻醉学]