外周神经阻滞联合静脉快通道麻醉用于高龄患者下肢骨科手术的临床效果  

Clinical Effect of Peripheral Nerve Block Combined With Intravenous Fast Track Anesthesia in Elderly Patients Undergoing Lower Limb Surgery in Department of Orthopedics

作　　者：王晓东[1] 于明涛[1] 潘红霞[1] 

机构地区：[1]威海市立医院麻醉科,山东威海264200

出　　处：《中国卫生标准管理》2017年第22期132-134,共3页China Health Standard Management

摘　　要：目的探讨外周神经阻滞联合静脉快通道麻醉用于高龄患者下肢骨科手术的临床效果。方法选取在我院择期下肢骨科手术高龄患者80例,按随机抽签法分为观察组和对照组,每组40例。纪录并比较两组各时间点患者平均动脉压(MAP)、心率(HR)的变化情况,比较其麻醉效果。结果对照组气管插管后、拔管时的MAP、HR均高于观察组及麻醉前(P<0.05),观察组的拔管时间、恢复自主呼吸时间和完全清醒时间均短于对照组(P<0.05)。结论外周神经阻滞联合静脉快通道麻醉用于高龄下肢骨科手术患者血流动力学稳定,手术安全性高,术后苏醒快。Objective To investigate the clinical effect of peripheral nerve block combined with intravenous fast channel anesthesia for lower limb surgery in elderly patients in department of orthopedics. Methods Eighty cases of elderly patients with orthopaedic surgery were selected in our hospital. According to the random lottery method, they were divided into observation group and control group, with 40 cases in each group. The changes of mean arterial pressure （MAP） and heart rate （HR） were recorded and compared between the two groups at different time points, and the anesthetic effect was compared. Results The MAP and HR of the control group after tracheal intubation and extubation were higher than those of the observation group and before anesthesia （P 〈 0.05）. The extubation time, spontaneous breathing time and complete awake time in the observation group were shorter than those in the control group （P 〈 0.05）. Conclusion Peripheral nerve block combined with intravenous fast track anesthesia for elderly patients with lower extremity surgery in department of orthopedics, has hemodynamic stability, high safety, quick recovery after surgery.

关 键 词：外周神经阻滞麻醉 静脉快通道麻醉 高龄 下肢骨科手术 

分 类 号：R614[医药卫生—麻醉学]