老年髋部手术麻醉方法选择的探讨  

Discussion on the choice of anesthesia for elderly patients with hip surgery

作　　者：费建平[1] 张代玲[1] 

机构地区：[1]昆山市中医医院麻醉科,江苏省215300

出　　处：《中华临床医师杂志（电子版）》2015年第24期175-179,共5页Chinese Journal of Clinicians(Electronic Edition)

基　　金：昆山市社会发展科技计划项目(KS1440);课题:腰硬联合麻醉和全麻对老年全髋置换手术患者肠道黏膜通透性的影响

摘　　要：随着社会老龄化进程,老年髋部手术日益增多。老年患者合并有心、脑血管及呼吸系统等多系统、多脏器功能储备的下降或障碍,对麻醉的选择与麻醉管理提出更高要求。本文就目前临床普遍采用的麻醉方式对循环和呼吸的稳定性、术后谵妄发生率、对术后凝血功能影响等方面进行比较与评价,对连续蛛网膜下腔阻滞、浅全麻复合区域神经阻滞等新技术予以肯定。With the aging of the society, the elderly hip surgery is increasing. The decline or obstacle of the elderly patient′s function of heart, cerebrovascular and respiratory system, etc. has put forward higher requirements on the choice and management of anesthesia. The different methods of anesthesia generally used in clinic was evaluated, in comparison of the stability of circulation and respiration, the postoperative delirium rate, the blood coagulation function of postoperative and so on. It is certain that the new technology of continuous spinal anesthesia, shallow general anesthesia combined regional nerve block and other new technologies have obvious advantages in the elderly hip surgery.

关 键 词：老年人 麻醉 关节成形术 置换 髋 手术后并发症 谵妄 

分 类 号：R614[医药卫生—麻醉学]