《中国康复理论与实践》

《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (01): 39-40.

• 临床康复 • 上一篇    下一篇

老年患者髋关节置换术的麻醉体会

王强; 王增春; 王嵘; 熊巍   

  1. 北京博爱医院麻醉科 北京市 100077
  • 收稿日期:2001-05-30 出版日期:2002-01-25 发布日期:2002-01-25

Anesthesia on elder patients in hip joint replacement

WANG Qiang, WANG Zeng-chun, WANG Rong, et al   

  1. Department of Anesthesiology, Beijing Bo'ai Hospital affiliated to China Rehabilitation Research Center, Beijing 100077, China
  • Received:2001-05-30 Published:2002-01-25 Online:2002-01-25

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摘要： 目的通过对髋关节置换术(HJRS)两种常用麻醉方法的比较,为临床上选择最合理的麻醉方法提供依据。方法对34例接受连续硬膜外麻醉(CEA)或静吸复合全麻(CIIA)的患者进行回顾性研究,比较失血量、骨水泥反应及麻醉效果等项目。结果与结论CEA组较CIIA组骨水泥反应明显,失血量两者之间无明显差异,两种麻醉方法均能满足手术要求,但CIIA组操作及术中管理更为容易。尽管CEA与CIIA在麻醉安全性方面没有明显差异性,但CIIA应用于HJRS更具合理性。

关键词: 老年患者, 髋关节置换术(HJRS), 连续硬膜外麻醉(CEA), 静吸复合全麻(CIIA)

Abstract: ObjectiveTo evaluate the two common anesthesia techniques used in the hip joint replacement surgery (HJRS) and provide references to the most reasonable choice for them. MethodsTo undertake a retrospective study on 34 patients that received continuous epidural anesthesia(CEA) or combined intravenous and inhaled anesthesia(CIIA)respectively in HJRS. Results and Conclusions CEA had higher incidence of bone cement reaction than that of CIIA, whereas there was no significant difference in blood loss and the anesthesia efficacy between them. CIIA seemed to be easier to be performed. CIIA sounds more reasonable than CEA in HJRS although both of them are safe anesthesia techniques.

Key words: elder patients, hip joint replacement surgery (HJRS), continuous epidural anesthesia(CEA), combined intravenous and inhaled anesthesia(CIIA)