摘要
目的探析对髋关节置换术患者应用全身麻醉、腰硬联合麻醉干预的临床效果。方法选取2020年8月—2022年8月郑州市中医院收治的择期髋关节置换术治疗患者120例,根据对患者手术前所采取麻醉方法差异将其分组并设为对照组、观察组,每组60例。对照组给予全身麻醉,观察组给予腰硬联合麻醉,从麻醉效果以及麻醉后不良反应方面比较两种手段的临床价值。结果观察组麻醉起效时间(2.41±1.16)min、阻滞时间(64.01±2.68)min、苏醒时间(4.53±0.82)min,麻醉药物使用剂量(7.43±2.45)mg,优于对照组患者起效时间(3.38±2.30)min、阻滞时间(71.79±5.47)min、苏醒时间(6.41±1.15)min,麻醉药物使用剂量(10.02±5.06)mg,差异有统计学意义(t=2.971、9.893、10.310、3.569,P<0.05)。在麻醉后对照组与观察组心率、平均动脉压均有下降,且在麻醉后30 min,观察组平均动脉压指标高于对照组,差异有统计学意义(P<0.05)。在麻醉后对照组血清皮质醇及儿茶酚胺指标均高于观察组,差异有统计学意义(P<0.05)。观察组患者术后麻醉相关不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论相对于全身麻醉方式,髋关节置换术患者采取腰硬联合麻醉方式效果更佳,同时保障患者麻醉安全性,同时促进手术更加平稳的进行。
Objective To explore the clinical effects of general anesthesia and combined epidural anesthesia in hip re-placement(HR)patients.Methods A total of 120 patients undergoing elective hip replacement treated in Zhengzhou Hospital of Traditional Chinese Medicine from August 2020 to August 2022 were selected.According to the difference of anesthesia methods taken before operation,they were divided into control group and observation group,with 60 cases in each group.The control group was given general anesthesia,and the observation group was given combined epidural anesthesia.The clinical value of the two methods was compared in terms of anesthetic effect and adverse reac-tions after anesthesia.Results In the observation group,the anesthesia effective time,block time,recovery time and dosage of anesthetic drugs were(2.41±1.16)min,(64.01±2.68)min,(4.53±0.82)min,and(7.43±2.45)mg,which were better than those in control group,the effective time was(3.38±2.30)min,the block time was(71.79±5.47)min,the re-covery time was(6.41±1.15)min,and the dosage of anesthetic drugs was(10.02±5.06)mg,and the difference was sta-tistically significant(t=2.971,9.893,10.310,3.569,P<0.05).After anesthesia,the heart rate and mean arterial pres-sure of control group and observation group were decreased,at 30 min after anesthesia,the mean arterial pressure in-dex in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After anesthesia,serum cortisol and catecholamine indexes in control group were higher than those in obser-vation group,and the difference was statistically significant(P<0.05).The rate of postoperative anesthesia-related ad-verse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with general anesthesia,the combined epidural anesthesia is more effec-tive for hip replacement patients,which can ensure the safety of anesthesia and promote the smooth operation.
作者
韩月
张新鹏
左威
HAN Yue;ZHANG Xinpeng;ZUO Wei(Department of Anesthesiology,Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou,Henan Province,450007 China)
出处
《系统医学》
2023年第17期41-45,共5页
Systems Medicine
基金
河南省中医药科学研究专项课题(20-21ZY2276)。
关键词
髋关节置换术
腰硬联合麻醉
全麻
麻醉效果
Hip replacement
Combined epidural anesthesia
General anesthesia
Anesthetic effect
