腰硬联合麻醉和全身麻醉在老年股骨颈骨折手术中效果对比观察

目的:分析对比腰硬联合麻醉与全身麻醉应用于老年股骨颈骨折手术中的效果.方法:从我院2017年8月-2018年8月股骨颈骨折老年患者中挑选84例为研究对象.并采用双盲法分为对照组与观察组,2组各43例.所有患者均手术治疗,对照组患者实行全身麻醉,观察组患者使用腰硬联合麻醉.对比2组患者麻醉效果.结果:结果表明,观察组患者镇痛有效率为95. 2% ,对照组患者麻醉镇痛有效率为83. 3% ,数据符合统计学差异( P<0. 05);且2组患者麻醉效果满意度并没有很明显的差异,观察组患者麻醉效果满意度为95. 2% ,对照组患者麻醉效果满意度为90. 5% ,数据不符合统计学差异( P>0. 05);与此同时,观察组患者不良反应发生率明显低于对照组患者,数据符合统计学差异( P<0. 05).结论:老年股骨颈骨折患者手术中应用腰硬联合麻醉可达到较好的镇痛效果,并且还可降低不良反应发生,可推广应用.     

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉观察

目的：探讨腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术中麻醉应用效果。方法方便选取2014年11月—2016年2月该院收治的90例老年患者行股骨颈骨折术作为研究对象,按照患者入院顺序将其分成治疗组和对照组,各45例。其中对照组患者采取全身麻醉,治疗组患者采用腰硬联合麻醉,比较两组患者麻醉效果及不良反应发生率。结果治疗组患者镇痛效果总有效率为95.6%,对照组患者镇痛效果总有效率为91.1%,差异无统计学意义（P>0.05）。治疗组患者不良反应发生率为8.9%明显低于对照组患者的15.6%,差异具有统计学意义（P<0.05）。结论腰硬联合麻醉和全身麻醉在股骨颈骨折术中均具有较好的镇痛效果,但腰硬联合麻醉不良反应发生率低。     

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉探析

目的探析腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉效果。方法选取160例在该院接受治疗的老年股骨骨颈骨折患者为研究对象,随机分成对照组和观察组,采取回顾性分析的方法对上述患者的临床资料进行分析和处理。结果在进行麻醉的过程中观察组患者出现低血压的人数明显多于对照组患者。两者差异有统计学意义（P〈0．05）。而出现高血压患者的人数却相反;而观察组其术后镇痛效果明显好于对照组（P〈0．05）。结论在对老年股骨颈骨折进行手术的过程中,采取腰硬联合麻醉和全身麻醉能起到较为满意的麻醉效果,能有效缓解术后疼痛,镇痛效果好,但腰硬联合麻醉其镇痛效果更好。不良反应率更低。     

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉思路构架实践

目的:探讨腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉思路构架实践。方法:回顾性分析我院2011年6月-2012年6月收治的患有股骨颈骨折的120例老年患者,随机分为观察组和对照组,各60例,观察组采用腰硬联合麻醉,对照组采用全身麻醉,观察两组患者的麻醉效果。结果:观察组患者镇痛效果的总有效率显著高于对照组,观察组患者术后不良反应的发生率显著低于对照组,对比存在显著差异(P0.05),有统计学意义。结论:腰硬联合麻醉和全身麻醉对行股骨颈骨折手术的老年患者的麻醉效果都较好,但是腰硬联合麻醉具有镇痛效果好、术后不良反应较少的优点,值得在临床上大力推广使用。     

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉观察

目的 探讨腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术治疗中的麻醉效果.方法 股骨颈骨折老年患者80例,随机分为腰硬联合麻醉观察组和全身麻醉组,各40例.记录患者麻醉中低血压、高血压、心动过缓、缺氧和出血情况,询问患者麻醉满意度和主刀医师满意度.记录患者术后镇痛效果、发生恶心呕吐、头晕嗜睡、肺部感染情况.结果 与全麻组比较,腰硬联合麻醉组低血压发生率高(P＜0.05),而高血压发生率低(P＜0.05),心动过缓、缺氧、出血量、患者麻醉满意度和主刀医师满意度差异无统计学意义(P＞0.05);与全麻组比较,腰硬联合麻醉组术后6 h VAS评分、恶心呕吐、头晕嗜睡和肺部感染发生率明显低(P＜0.05).结论 股骨颈骨折手术患者,全身麻醉和腰硬联合麻醉均能提供良好的麻醉和术后镇痛,而腰硬联合麻术后镇痛效果更好,并发症更少.     

腰-硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术中的麻醉效果

目的:探讨分析腰-硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉效果。方法:选取收治的50例老年股骨颈骨折患者,随机分为观察组和对照组,对观察组患者在手术中进行腰-硬联合麻醉,对照组患者在手术中实行全身麻醉处理,对两组患者的手术镇痛效果以及术后并发症率进行比较分析。结果:经过分别麻醉处理后,观察组患者的麻醉效果虽然优于对照组,差异不具有统计学意义(P>0.05)。在术后并发症率上,观察组患者有1例出现了肺部感染的情况,而对照组患者中,3例出现了肺部感染,还有2例患者出现恶心、呕吐的情况,两组患者的术后并发症率分别为4%和20%,差异具有显著统计学意义(P<0.05)。结论:在对手术治疗老年股骨颈骨折患者时,虽然全身麻醉和腰-硬联合麻醉在镇痛效果上相差不大,但是应用腰-硬联合麻醉处理可以明显降低患者的术后并发症率,应当在临床上推广应用。     

腰硬联合麻醉和全身麻醉在老年股骨颈骨折手术中的应用观察

目的：观察腰硬联合麻醉和全身麻醉在老年股骨颈骨折手术中的应用效果。方法将我院86例老年股骨颈骨折患者按照平行分组法分为联合组（43例）和全身组（43例）,分别给予腰硬联合麻醉和全身麻醉,分析2组患者的麻醉效果。结果联合组术中高血压发生率低于全身组,低血压发生率高于全身组（P〈0.05）,联合组镇痛效果及术后并发症等少于全身组（P〈0.05）。结论腰硬联合麻醉和全身麻醉在老年股骨颈骨折手术中均可取得较为显著的麻醉效果,腰硬联合麻醉效果更佳,术后并发症少,可作为老年股骨颈骨折手术的理想麻醉方式。     

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术麻醉分析

目的:探讨腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术麻醉。方法:选择我院在2017年1月-2018年12月收集的股骨颈骨折手术老年患者30例进行研究分析,按照随机教字表分组方式将股骨颈骨折手术老年患者分为腰硬麻醉组和全身麻醉组各15例,全身麻醉组股骨颈骨折手术老年患者给予全身麻醉.腰硬麻醉组股骨颈骨折手术老年患者给予腰硬联合麻醉,诱导前、术中以及术后30分钟测定2组血糖情况,记录2组股骨颈骨折手术老年患者的麻醉药物用量,记录麻醉维持时长,并比较2组的术中和术后不良反应情况。结果:腰硬麻醉组股骨颈骨折手术老年患者血糖低于全身麻醉组,麻醉维持时间长,药物用量少,數据统计P<0.05。腰硬麻醉组术中和术后的不良反应低于全身麻醉组,数据统计P<0.05。其中,腰硬麻醉组的术中出现低血压有1例,出现高血压0例,出现心动过缓1例,总发生率是13.33%。全身麻醉组的术中出现低血压有2例,出现高血压2例,出现心动过缓2例,术后出现恶心呕吐2例,肺部感染1例,总发生率是60.00%。结论:在股骨颈骨折手术的治疗中,腰硬联合麻醉的麻醉效果显著优于全身麻醉,药物用量少,安全性高,值得应用。     

不同麻醉方式对老年股骨颈骨折手术的麻醉效果比较

目的：探讨腰硬联合麻醉与全身麻醉对老年患者股骨颈骨折手术的麻醉效果比较。方法将广东省揭阳市东山区第二人民医院2010年6月-2013年6月进行股骨颈骨折手术的180例老年患者随机均分为观察组和对照组（n=90）。观察组采用腰硬联合麻醉的麻醉方法,对照组采用全身麻醉的麻醉方法。观察2组低血压发生率、高血压发生率、心动过缓及缺氧发生率、术后不良反应、镇痛效果。结果在麻醉过程中,观察组低血压发生率明显高于对照组（P〈0.05）,观察组为16.7%,对照组为1.1%,而高血压发生率明显低于对照组（P〈0.05）,观察组为0%,对照组为18.9%,观察组心动过缓及缺氧发生率与对照组比较差异均无统计学意义,观察组为17.8,对照组为18.9%;观察组术后恶心呕吐（0%与17.8%）、头晕嗜睡（2.2%与17.8%）、肺部感染等不良反应发生率（1.1%与15.6%）均较对照组低（P〈0.05）;观察组患者术后镇痛效果VAS评分平均为（2.2±0.2）分,对照组为（4.1±0.3）分,观察组术后镇痛效果明显优于对照组,差异有统计学意义（P〈0.05）;观察组患者术后对麻醉满意度评分平均为（9.2±0.2）分,对照组为（9.3±0.1）分,2组患者术后对麻醉满意度评分比较差异无统计学意义。结论在老年股骨颈骨折手术实施过程中,应用腰硬联合麻醉较之应用全身麻醉效果更佳,其安全性也更高。     

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉效果比较

目的:比较老年股骨颈骨折手术中全身麻醉和腰硬联合麻醉的效果差异。方法:选取2017年2月-2018年11月本院收治股骨颈骨折手术患者116例,按照麻醉方案不同将其分为观察组(腰硬联合麻醉)和对照组(全身麻醉),对2组患者手术麻醉效果、麻醉起效时间、不良反应等进行观察分析。结果:观察组患者麻醉效果优良率明显高于对照组,差异具有显著性(P<0.05);观察组患者麻醉起效时间明显短于对照组,VAS评分明显低于后者,差异具有显著性(P<0.05);观察组患者术后不良发生情况均明显低于对照组,差异具有显著性(P<0.05)。结论:老年股骨颈骨折手术中,同全身麻醉相比采用腰硬联合麻醉具有更高的安全性,可有效缩短麻醉起效时间,并减轻患者疼痛感,对保证手术顺利进行和术后康复具有十分积极的作用。     

Anesthesia

Effects of DO2-directed hemodynamic management on pulmonary function in to course of anaesthesia of liver transplantation; Rectal midazolam, atropine and ketamine as premedication for infants and young children; Supraclavicular subclavian venous catheterization through the insertion point medial to the middle of clavicle in infants; Effect of acute normovolemic hemodilution on context-sensitive half-time for propofol given by target controlled infusion during hip joint replacement; Effect of acute hypervolemic hemodilution on pharmacokinetics of propofol in patients undergoing total hip replacement; Influence of leukocyte filtration on systemic inflammatory response to cardiopulmonary bypass in dogs;Effect of urapidil on L-type calcium current in rat ventricular myocytes; Changes in systemic and pulmonary hemodynamics in patients with liver cirrhosis and portopulmonary hypertension during liver transplantation;……     

Anesthesia

Effect of propofol on the release of glutamate γ-amino-butyric acid in hippocampus in rats during recovery from paradoxical steep deprivation;The effect-site concentration of midazolam achninistered by TCI and BIS values for conscious sedation in patients of differmt ages;Effects of ephedrine pretreatment and rocuronium priming on the rocuronium-induced neuromuscular blockade;Effects of different doses of propofol on cerebral venous blood S-100 protein and neuron-specific eno- lase in patients undergoing open heart surgery under CPB at mild hypothermia;Effect of different doses of ambroxol in car- diopulmonary bypass induced lung injury in children     

Anesthesia

Protective effects of colquhounia root tablet against oleic acid induced acute lung injury in rats , Effect of ketamine on iNOS mRNA expression in spinal cord of mice in the development of morphine tolerance, Analgesic effect of intrathecal SB203580 in a rat model of neuropathic pain , Interleukin.lO gene therapy for neuropathic pain in a rat model of chronic constriction injury , Effects of epidural capsaicin on pain thresh. old, neurological function and spinal neurons in rabbits, Effects of different concentrations of heparin in the preservation solution on blood coagulation after reperfusion in patients undergoing orthotopie liver transplantation, Influence of lidocaine on systemic inflammatory response to cardiopulmonary bypass in patients undergoing coronary artery bypass grafting , Effect of midazolam pretreatment on neurotoxicity of ropivacaine in rats , Anesthetic efficacy of epidural ropivaeaine mixed with different doses of sufentanil for hysterectomy     

Anesthesia

<正>209163 Changes in plasma colloid osmotic pressure during off-pump orthotopic liver transplantation/Zhang Xiaomei(Dept Anesthesiol,Tianjin 1st Centre Hosp,Tianjian 300192)…∥Chin J Anesthesiol.-2009,29(2).-151~153Objective To investigate the changes in plasma colloid osmotic pressure(COP)in patients undergoing off-pump orthotopic liver transplantation(OLT).Methods Thirty ASA Ⅱ-Ⅳ patients(liver function Child-Pugh grade B or C)aged 35-60 yr undergoing off-pump OLT were studied.Anesthesia was induced with midazolam,sufentanil,propofol and vecuronium and maintained with propofol infusion,isoflurane inhalation and intermittent iv boluses of sufentanil and vecuronium.Human albumin and fresh frozen plasma were infused during operation.Hemoglobin was maintained at 70-80 and 80-100 g/L during preanhepatic and anhepatic phase respectively.Urine output was maintained at 1,0.5 and 1-2 ml·kg-1·min-1 while CVP at 4-7,0-3 and 4-10 mm Hg respectively during preanhepatic,anhepatic and neo-hepatic phase.Blood samples were taken immediately before intravenous line was established (T0,baseline),at skin incision(T1),60 min of preanhepatic phase(T2)beginning of anhepatic phase(T3),30 min of anhepatic phase (T4),beginning of neohepatic phase(T5),30 min of neohepatic phase(T6) and the end of operation(T7)from internal jugular vein for determination of plasma COP,crystalloid osmotic pressure and serum albumin concentration.     

Anesthesia

<正>209016 Effects of flurbiprofen on cellular immune function during patient-controlled intravenous analgesia with fentanyl in patients after esophagectomy/Feng Yanping(冯艳平,Dept Anesthesiol,Cancer Hosp He’nan Province,Zhengzhou 450003)…∥Chin J Anesthesiol. -2009,29(9). -773～774 Objective To investigate the effects of flurbiprofen on cellular immune function during patient-controlled in- travenous analgesia(PCIA) with fentanyl in the patients after esophagectomy.     

Anesthesia

Preventive effects of remifentanil on sympathetic activation induced by desflurane,Effects of different doses of ketamine on cognitive function in aged rats,Efficacy of sufentanil combined with propofol for video-assisted endoscopic transthoracic sympathectomy,Accuracy of target-controlled infusion of sufentanil in clinical anesthesia.     

Anesthesia

Anesthetic choice for patients undergoing simuitaneous pancreas-kidney transplantation,Effect of morphine pretrealment on expression of substance P and calcitonin gene related peptide in myocardium following acute myocardial ischemia in rats,Effects of lidocaine and ropivacaine on con- tractility of isolated pregnarlt rat myometrium,Effect of acute hypervolemic hemodilution with different colloids on GP Ⅱ b/Ⅲ a and P-selectin expression in patients with colon cancer during perioperative period,Effects of propofol on extracellular signal-regulated kinase 1/2 phosphorylation in mouse hippocampal slices[第一段]     

Anesthesia

Cerebral protective effect of nicorandil premedication in patients undergoing coronary artery bypass grafting with cardiopuimonary bypass;Protective effects of remifentanil preconditioning on myocardium against ischemia-reperfusion injury in rats; Effects of ultrarapid opiate detoxification during general anesthesia on plasma morphine concentration and brain β-endorphin content in rats addicted to morphine;The effect of propofol on platelet aggregation and blood coagulation in patients undergoing upper ab- dominal surgery/Tao Guocai ; Protective effects of pretreatment with rosigli tazone on the lungs against endotoxin-induced acute injm＇y in rats; ……     

Anesthesia

<正>209480 Effect of high thoracic epidural block on expression of β1-ARK mRNA in lymphocytes in elderly patients with essential hypertension complicated with     

Anesthesia

Efficacy and safety of intravenous dexmedetomidine as an adjunct to general anesthesia; Difference in BIS level between adults and children during target-controlled infusion of propofol; Recovery from anesthesia in patients undergoing abdominal surgery： a comparison of sevoflurane and isoflurane