不同麻醉方式应用于人工全髋关节置换术的临床效果观察  

Clinical Observation of Different Anesthesia Methods Applied to Total Hip Arthroplasty

作　　者：洪丽琼[1] 代景伟[1] HONG Li-qiong;DAI Jing-wei(Department of Anesthesiology,the First Afliated Hospital of Xiamen University（Fujian Xiamen 361003)

机构地区：[1]厦门大学附属第一医院麻醉科,福建厦门361003

出　　处：《中国医疗器械信息》2018年第18期3-4,共2页China Medical Device Information

摘　　要：目的:探讨不同麻醉方式应用于人工全髋关节置换术的临床效果。方法:本次研究对象选取本院收治的100例需要接受人工全髋关节置换术治疗的患者,按照麻醉方式的不同分为对照组和实验组,对照组患者接受气管插管麻醉,实验组患者接受腰麻联合硬膜外麻醉,对两组患者的麻醉后的相关功能、完全阻滞时间、术中出血量以及手术时间加以对比分析。结果:对照组患者的完全阻滞时间以及麻醉开始作用时间显著多于实验组患者,P<0.05;麻醉后,对照组患者认知功能评分显著低于实验组患者,P<0.05,数据比较差异显著。结论:接受人工全髋关节置换术治疗的患者接受腰麻联合硬膜外麻醉的效果更好。Objective： To investigate the clinical efects of diferent anesthesia methods in total hip arthroplasty. METHODS： One hundred patients underwent total hip arthroplasty in our hospital. The patients were divided into the control group and the experimental group according to the anesthesia method. The control group received tracheal intubation anesthesia. The experimental group The patients underwent spinal anesthesia combined with epidural anesthesia, and the operation time, complete block time, intraoperative blood loss and related functions after anesthesia were compared between the two groups. RESULTS： The time of complete block and the time of onset of anesthesia were signifcantly lower in the experimental group than in the control group, P〈0.05. After anesthesia, the cognitive function scores of the experimental group were signifcantly higher than those of the control group, P〈0.05, and the data were signifcantly diferent. Conclusion： Patients undergoing total hip arthroplasty have better spinal and anesthesia combined with epidural anesthesia and are worthy of clinical promotion.

关 键 词：腰麻联合硬膜外麻醉 气管插管麻醉 人工全髋关节置换术 

分 类 号：R614[医药卫生—麻醉学]