腰-硬联合麻醉用于老年人髋关节置换术100例
SHAANXI MEDICAL JOURNAL(2006)
Abstract
目的:探讨腰-硬联合麻醉应用于老年人髋关节置换手术的可行性及安全性.方法:选择200例65~95岁拟行全髋关节置换手术患者,随机分为腰-硬联合麻醉(CSEA)组和硬膜外麻醉(EA)组,每组各100例.观察各组麻醉起效时间、阻滞平面、镇痛和肌松效果、局麻药和静脉辅助药用量及术中MAP、HR、RR、SPO2的变化.术后随访72h观察有无头痛、恶心、呕吐、腰痛、尿潴留等副作用.结果:CSEA组比EA组麻醉起效快,镇痛及肌松效果好,辅助局麻药和静脉麻醉药用量少(P<0.01),术中血流动力学变化及术后随访两组无显著性差异.结论:CSEA可安全有效的应用于老年人髋关节置换手术的麻醉.
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