老年患者人工股骨头置换术的麻醉管理  

Anesthesia Management of Artificial Femoral Head Replacement in Elderly Patients

作　　者：于梦琪 周锟 汪世高 YU Mengqi;ZHOU Kun;WANG Shigao(Department of Anesthesiology,Jingmen Hospital of Traditional Chinese Medicine,Jingmen Hubei 448000,China)

机构地区：[1]湖北省荆门市中医医院麻醉科,湖北荆门448000

出　　处：《中国继续医学教育》2021年第28期152-155,共4页China Continuing Medical Education

摘　　要：目的对于老年患者人工股骨头置换术的麻醉管理以及麻醉效果进行探讨。方法选择2019年1月—2020年1月接诊的老年人工股骨头置换术患者80例作为本文观察对象,根据老年人工股骨头置换术患者的入院顺序对其开展分组,其中一组老年人工股骨头置换术患者接受罗哌卡因硬膜外麻醉,共计40例纳入到对照组,剩余一组老年人工股骨头置换术患者接受罗哌卡因腰硬联合麻醉,共计40例纳入到研究组,对比研究组与对照组老年人工股骨头置换术患者接受不同麻醉管理之后的麻醉效果以及麻醉阻滞和阻滞完善时间等。结果研究组与对照组老年人工股骨头置换术患者的麻醉效果对比,差异具有统计学意义(P<0.05);两组患者麻醉之前、麻醉之后5分钟、麻醉之后半小时的心率与血压水平对比,差异无统计学意义(P>0.05);两组老年人工股骨头置换术患者的麻醉阻滞和阻滞完善时间对比,差异具有统计学意义(P<0.05)。结论临床中对于老年人工股骨头置换术患者,为其提供罗哌卡因腰硬联合麻醉效果明显,能够有效降低麻醉阻滞和阻滞完善时间,保证麻醉效果,不会诱发患者心率与血压水平明显变化,应该给予大力的推广与应用。Objective To discuss the anesthesia management and anesthesia effect of artificial femoral head replacement in elderly patients.Methods 80 elderly patients undergoing femoral head replacement surgery from January 2019 to January 2020 were selected as the observation objects in this article.According to the admission order of the elderly femoral head replacement patients,they were divided into groups.One group of elderly workers Bone replacement patients received ropivacaine epidural anesthesia.A total of 40 patients were included in the control group.The remaining group of elderly patients undergoing femoral head replacement received ropivacaine combined spinal-epidural anesthesia.A total of 40 patients were included in the study group.The effect of anesthesia and the time of anesthesia block and block perfection after different anesthesia management were compared between the study group and the control group.Results Comparison of anesthetic effects between the study group and the control group in elderly patients undergoing artificial femoral head replacement,the difference was statistically significant(P<0.05);The heart rate and blood pressure levels before anesthesia,5 minutes after anesthesia and half an hour after anesthesia were compared between the two groups,there was no significant difference(P>0.05);Comparison of anesthesia block and block improvement time between the two groups of elderly patients undergoing artificial femoral head replacement,the difference was statistically significant(P<0.05).Conclusion For elderly patients undergoing femoral head replacement surgery,ropivacaine combined with spinal-epidural anesthesia has a significant effect,which can effectively reduce the anesthesia block and the block completion time,ensure the anesthesia effect,and will not induce the patient's heart rate and blood pressure.Obvious changes should be vigorously promoted and applied.

关 键 词：老年人工股骨头置换术 罗哌卡因腰硬联合麻醉 麻醉效果 麻醉阻滞 心率 血压 

分 类 号：R614[医药卫生—麻醉学]