老年患者单侧髋关节置换术应用等比重布比卡因腰硬联合阻滞麻醉效果的临床研究  

Clinical Study on the Effect of Combined Lumbar and Epidural Block with Isospecific Weight Bupivacaine on Unilateral Hip Replacement in Elderly Patients

作　　者：程博[1] CHENG Bo(Department of Anesthesiology,The Second Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳医学高等专科学校第二附属医院麻醉科,河南南阳473000

出　　处：《罕少疾病杂志》2023年第4期77-78,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨老年患者行单侧髋关节置换术用等比重布比卡因腰硬联合阻滞麻醉的临床治疗效果。方法选择我院2019年1月到2022年1月收治的70例麻醉髋关节病例作为此次研究对象,以计算机表法分组,研究组和对比组各35例,对比组应用重比重布比卡因,研究组用等比重布比卡因,比较两组不同时间下的心率(HR)、动脉血压和动脉血氧饱和度的水平进行对比,并对两组老年患者的麻醉阻滞效果以及治疗后所出现的并发症情况就进行对比。结果等比重布比卡因在老年单侧髋关节置换术腰硬联合阻滞麻醉中的效果高于重比重不必卡因,结果表明:实验组最高胸椎阻滞平面高于对照组,实验组T10阻滞时间高于对照组,单侧神经阻滞率高于对照组,实验组并发症发生率为11.43%,显著低于对照组(40.00%),差异有统计学意义(P<0.05);两组T0-7的8个时间点MAP均无差异(P>0.05);两组T0-4以及T7这6个时间点HR水平比较无统计学价值(P>0.05),两组T0/6/7这3个时间点SpO2水平比较无差异(P>0.05),研究组T1到T5的5个时间段患者的血氧饱和度水平显著高于对比组,研究组T5到T6的2个时间段,患者的心率水平显著低于对比组,差异有统计学意义(P<0.05)。结论经过本次研究发现,比重布比卡因腰硬联合阻滞麻醉效果更好,具有良好的老年患者行单侧髋关节置换治疗价值,值得推广使用。Objective To investigate the clinical effect of isospecific bupivacaine combined lumboscleradural block anesthesia in elderly patients undergoing unilateral hip replacement.Methods Seventy patients with hip joint anesthesia admitted to our hospital from January 2019 to January 2022 were selected as the study objects.They were divided by computer table method,with 35 cases in the study group and 35 cases in the comparison group.The comparison group received bupivacaine,while the study group received bupivacaine.Heart rate(HR),arterial blood pressure and arterial oxygen saturation levels were compared between the two groups at different times,and the effects of anesthesia block and complications after treatment were compared between the two groups.Results The efficacy of equal specific gravity bupivacaine was higher than that of no specific gravity bupivacaine in elderly patients undergoing unilateral hip replacement.The results showed that:The highest thoracic block plane of the experimental group was higher than that of the control group,the T10 block time of the experimental group was higher than that of the control group,and the rate of unilateral nerve block was higher than that of the control group.The complication rate of the experimental group was 11.43%,significantly lower than that of the control group(40.00%),the difference was statistically significant(P<0.05).There were no differences in the MAP of T0-7 at 8 time points between the two groups(P>0.05).There was no significant difference in HR level at T0-4 and T7 time points between the two groups(P>0.05),and there was no difference in SpO2 level at T0/6/7 time points between the two groups(P>0.05).The blood oxygen saturation level of patients at five time points from T1 to T5 in the study group was significantly higher than that of the control group,and at two time points from T5 to T6 in the study group,The heart rate of patients was significantly lower than that of comparison group,and the difference was statistically significant(P<0.05).Conclusion T

关 键 词：等比重布比卡因 单侧髋关节置换术 腰硬联合阻滞麻醉 

分 类 号：R687.4[医药卫生—骨科学]