老年患者髋关节置换术全麻与椎管内麻醉的比较  

Comparison of general anesthesia and intraspinal anesthesia for hip replacement in elderly patients

作　　者：方守先 FANG Shou-xian(Suzhou Industrial Park Xingpu Hospital,Jiangsu Suzhou 215126,China)

机构地区：[1]苏州工业园区星浦医院,江苏苏州215126

出　　处：《临床医药文献电子杂志》2019年第89期5-6,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的分析老年患者髋关节置换术全麻与椎管内麻醉。方法选择选择60例在我院2017年2月~2018年8月收治的进行髋关节置换术的老年患者为研究对象,将其随机划分为2组。两组患者均在手术前6-8小时内禁止饮用水禁止食用任何食物。手术开始后全麻组要使用全麻的方式。椎管内麻醉组要采用腰硬联合麻醉的方法。结果两组患者治疗过程中,椎管内麻组并发症的发生率为6%。全麻组的并发症发生率为23%。椎管内麻组患者与全麻组患者的出血量和操作时间没有统计学意义;椎管内麻组患者麻醉观察时间以及住院时间都比全麻组患者短,椎管内麻组患者临床治疗满意度为100.0%,全麻组患者治疗满意度为73.0%,椎管内麻醉组更优两组患者手术前后对比,数据差异具有统计学意义,P<0.05。结论通过本文研究了解,在使用椎管内麻醉的患者在手术后不良事件的发生几率小于全麻组患者且椎管内麻组患者在手术后住院以及观察时间都短于全麻组患者,并且椎管内麻醉组患者对治疗的满意度较高,有利于缓和以及调节医患关系。因此,在老年患者进行髋关节的置换手术时椎管内麻醉比全麻更加的稳定以及对老年患者的伤害小,因此,可以推广使用。Objective To analyze the general anesthesia and intraspinal anesthesia for hip replacement in elderly patients.Methods 60 elderly patients who underwent hip arthroplasty in our hospital from February 2017 to August 2018 were selected as the study subjects and randomly divided into two groups.Both groups of patients were prohibited from drinking water and eating any food within 6-8 hours before operation.General anesthesia should be used in the anesthesia group after the operation.The combined spinal-epidural anesthesia should be used in the spinal anesthesia group.Results The incidence of complications in the spinal anesthesia group was 6% in the two groups.The incidence of complications in general anesthesia group was 23%.There was no significant difference in bleeding volume and operation time between the two groups;the observation time and hospitalization time of spinal anesthesia group were shorter than those of general anesthesia group,the clinical treatment satisfaction of spinal anesthesia group was 100.0%,the treatment satisfaction of general anesthesia group was 73.0%.The intraspinal anesthesia group was better than the two groups before and after operation,and the data difference was systematic.The significance of accounting,P<0.05.Conclusion Through this study,the incidence of adverse events in patients with intraspinal anesthesia after surgery is less than that in patients with general anesthesia,and the hospitalization and observation time in patients with intraspinal anesthesia after surgery are shorter than those in patients with general anesthesia.The patients with intraspinal anesthesia are more satisfied with the treatment,which is conducive to easing and regulating the doctor-patient relationship.Therefore,intraspinal anesthesia is more stable and less harmful than general anesthesia in elderly patients undergoing hip replacement surgery,so it can be widely used.

关 键 词：髋关节置换手术 全麻 椎管内麻醉 比较 

分 类 号：R614[医药卫生—麻醉学]