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腰-硬联合麻醉在老年患者人工股骨头置换术中的应用
引用本文:王光明,李胜锋,聂芳,王安奎,杭博,张卫东. 腰-硬联合麻醉在老年患者人工股骨头置换术中的应用[J]. 吉林医学, 2011, 0(11): 2088-2090
作者姓名:王光明  李胜锋  聂芳  王安奎  杭博  张卫东
作者单位:陕西西安兵器工业521医院;
摘    要:目的:探讨腰-硬联合麻醉(CSEA)用于老年患者人工股骨头置换手术的临床麻醉效果及安全可行性。方法:将65岁以上的40例患者随机分为腰-硬联合麻醉组(CSEA组,20例)和硬膜外组(EA组,20例),记录麻醉起效时间、镇痛效果、阻滞平面及注药前、注药时、注药后15 min、30 min收缩压(SBP)、舒张压(DBP)、心率(HR)的变化。结果:CSEA组麻醉过程比EA组平稳,起效时间明显缩短,镇痛肌松效果确切,血流动力学影响小。结论:CSEA用于老年患者人工股骨头置换手术,只要应用得当,即可达到安全可靠、满意的麻醉效果。

关 键 词:腰-硬联合麻醉  老年患者  人工股骨头置换术

Application of combined spinal-epidural anesthesia for the eld patients in artificial femoral head replacement
WANG Guang-ming,LI Sheng-feng,NIE Fang,et al. Application of combined spinal-epidural anesthesia for the eld patients in artificial femoral head replacement[J]. Jilin Medical Journal, 2011, 0(11): 2088-2090
Authors:WANG Guang-ming  LI Sheng-feng  NIE Fang  et al
Affiliation:WANG Guang-ming,LI Sheng-feng,NIE Fang,et al(Department of Anesthesiology,521 Hospital of Weapon Industrial Hygiene Institute,Xi'an Shaanxi 710065,China)
Abstract:Objective To explore the clinical anesthesia effect and securitied feasibility of combined spinal-epidural anesthesia for the eld patients in artificial femoral head replacement.Methods Forty cases aged exceed 65 years old were divided randomizedly into two groups:group CSEA(n=20),received combined spinal-epidural anaesthesia;group EA(n=20),received simple epidural anesthesia.Record the time to become effective and the analgesia effect and the blockage segment.Systolic blood pressure(SBP),diastolic blood pr...
Keywords:Combined spinal-epidural anesthesia  Eld patient  Artificial femoral head replacement  
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