小剂量轻比重布比卡因用于高龄患者髋部手术的研究进展

背景髋部骨折是高龄老年人最常见的骨折之一.蛛网膜下腔-硬膜外腔联合麻醉(combined spinal epidural anesthesia,CSEA)是该类手术常用的麻醉方法,但是蛛网膜下腔药液比重的选择仍然存在争议.目的 回顾分析近年来国内外对小剂量轻比重布比卡因应用于高龄髋部手术的研究,对其安全性及优势进行综述.内容小剂量轻比重布比卡因应用于高龄患者单侧蛛网膜下腔麻醉,总结其成功率、对血流动力学的影响、术后功能恢复等.趋向小剂量轻比重布比卡因在高龄患者髋部手术蛛网膜下腔麻醉中的应用是安全、有效、可靠的,但是最佳的小剂量尚需进一步研究探讨.

Advances on the study of small dose hypobaric bupivacaine for hip surgery in senile patients

Background Hip fracture is one of the most common fractures in the senile people. Combined spinal epidural anesthesia (CSEA) is a common method of anesthesia used in this kind of operation. But the optional drug proportion in subarachnoid space in CSEA is still controversial. Objective A retrospective analysis was made on the recent progresses of small dose hypobaric bupivacaine in senile patients with hip surgery in China and abroad, focusing on its security and advantages. Content Small dose hypobaric bupivacaine was used in senile patients with unilateral spinal anesthesia. Success rate, the influence on hemodynamics, postoperative functional recovery are summarized. Trend Application of small dose hypobaric bupivacaine solution in senile hip surgery is safe, effective, and reliable. But the suitable minimal dose will be determined by further research and discussion.