两种麻醉方式用于髋关节置换术的临床比较  

Comparison of the Clincal Effect of Epidural Anesthesia and CSEA in Hip Repalacement

作　　者：李瑞霞[1] LI Ruixia(Anesthesiology Department,The 3^rd People＇s Hospital of Ji＇nan City Ji＇nan Shandong 250132,China)

机构地区：[1]济南市第三人民医院麻醉科,山东济南250132

出　　处：《中国卫生标准管理》2018年第12期138-140,共3页China Health Standard Management

摘　　要：目的对硬膜外麻醉及腰硬联合麻醉在髋关节置换术中的应用效果进行对比研究。方法将我院2015年1月—2017年8月收治的76例髋关节置换术患者随机分为两组,对照组38例患者行硬膜外麻醉,观察组38例患者行腰硬联合麻醉,对比两组麻醉效果。结果观察组麻醉有效率为100.00%,明显高于对照组的80.47%(P<0.05),观察组麻醉时间为(3.9±1.3)min,明显短于对照组的(8.4±2.3)min,组间比较差异有统计学意义(P<0.05)。观察组不良反应发生率为5.26%,明显低于对照组的26.32%(P<0.05)。结论对髋关节置换术患者行腰硬联合麻醉,可有效缩短麻醉起效时间,降低术后不良反应发生率。Objective To compare the clincal effect of epidural anesthesia and combined spinal and epidural analgesia（CSEA） in hip repalacement. Methods 76 cases with hip replacement in our hospital from January 2015 to August 2017 were selected, and divided into control group and experimental group, 38 cases in control group were carried out epidural anesthesia, 38 cases in experimental group were carried out CSEA, the clinical effect of the two anethesia were compared. Results The anethesia rate of experimental group was 100.00%, which was much higher than that of control group of 80.47%（P〈0.05）. The anethesia period of experimental group was（3.9±1.3） mim, which was shorter than that of control group of（8.4±2.3） min, the difference had statistical significance（P〈0.05）. The untoward rate of experimental group was 5.26%, which was much lower than that of control group of 26.32%（P〈0.05）. Conclusion Adopting CSEA in hip replacement can shorten the anethesia period, reduce the untoward rate, is worthy of clincal application.

关 键 词：髋关节置换术 腰硬联合麻醉 硬膜外麻醉 麻醉诱导 麻醉时间 不良反应 

分 类 号：R614[医药卫生—麻醉学]