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轻比重小剂量蛛网膜下腔-硬膜外联合麻醉在下肢骨折老年患者手术中的应用
引用本文:吴国勇. 轻比重小剂量蛛网膜下腔-硬膜外联合麻醉在下肢骨折老年患者手术中的应用[J]. 中外医疗, 2011, 30(3): 17-18
作者姓名:吴国勇
作者单位:湖南省常德市第二中医院,湖南常德,415000
摘    要:目的 探讨轻比重小剂量蛛网膜下腔-硬膜外联合麻醉在下肢骨折老年患者手术中的应用安全性和麻醉效果。方法 对54例老年下肢骨折手术的患者临床资料进行回顾性分析。结果 患者麻醉后的SBP、DBP较麻醉前略有下降,但比较无显著差异(P〉0.05),HR和SPO2较麻醉前略有升高,比较亦无显著差异(P〉0.05)。结论 小剂量轻比重蛛网膜下腔-硬膜外联合麻醉对行下肢手术的老年骨折患者是一种疗效确切,安全可靠的麻醉方法。

关 键 词:轻比重  小剂量  罗比卡因  蛛网膜下腔-硬膜外联合麻醉  骨折

Application of Light Weight and Low-dose Spinal-epidural Anesthesia in Lower Limbs Fracture Patients
WU Guoyong. Application of Light Weight and Low-dose Spinal-epidural Anesthesia in Lower Limbs Fracture Patients[J]. China Foreign Medical Treatment, 2011, 30(3): 17-18
Authors:WU Guoyong
Affiliation:WU Guoyong The Second Chinese Medical Hospital of Changde City,Hunan 415000,China
Abstract:Objective To investigate the proportion of low-dose spinal Light-epidural anesthesia in elderly patients with fracture of lower limb surgery and anesthesia safety.Methods 54 cases of elderly patients with lower limb fractures were retrospectively analyzed.Results The patient after anesthesia SBP,DBP decreased slightly compared with before anesthesia,but no significant difference.(P0.05),HR and SPO2 slightly higher than those before,there was no significant difference(P0.05).Conclusion Small dose hypobaric spinal-epidural anesthesia for lower limb surgery in elderly patients with fracture is an effective and safe and reliable method of anesthesia.
Keywords:Light weight  Low-dose  Ropivacaine  Spinal-epidural anesthesia  Fracture
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