| 摘要: |
| ［摘要］ 目的 观察不同比重液单侧腰麻在老年人髋部手术中的麻醉效果及并发症。方法 将60例择期行髋部手术的老年患者随机分为两组：轻比重组（A组）30例（0.75%布比卡因与灭菌注射用水混合）；重比重组（B组）30例（0.75%布比卡因与5%葡萄糖注射液混合）。两组均选择腰硬联合麻醉（CSEA），混合液含布比卡因8～15 mg，推注速度0.1 ml/s，注药完毕后维持穿刺体位不变至麻醉平面固定。观察麻醉起效时间、阻滞完全时间、持续时间、血流动力学变化及不良反应发生率。结果 两组患者术中麻醉效果均满意，A组麻醉起效时间及平面固定时间均较B组延长（P<0.01），而维持时间较B组短（P<0.01）。与A组相比，B组血流动力学波动较大，需要辅助使用血管活性药，差异有统计学意义（P<0.05）。结论 轻比重与重比重单侧腰麻均可适用于老年髋部手术麻醉，但轻比重单侧腰麻的血流动力学更趋于稳定，更加安全可行。 |
| 关键词: 不同比重液 老年人 髋部手术 单侧腰麻 |
| DOI：10.3969/j.issn.1674-3806.2015.10.24 |
| 分类号:R 971+.2 |
| 基金项目: |
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| The clinical research on the different proportions of unilateral spinal anesthesia in the elderly patients with hip surgery |
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LU Yan, WEI Guan-shan
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Department of Anesthesiology, Chinese Traditional Medical Hospital of Nanning, Guangxi 530001, China
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| Abstract: |
| ［Abstract］ Objective To study the anesthesia effect and its complications of the different proportions of unilateral spinal anesthesia in the elderly patients with hip operation.Methods Sixty elderly patients with hip operation were randomly divided into two groups,both of which were implemented by combined spinal epidural anesthesia.The hypobaric group(group A, n=30) was used 0.75% bupivacaine mixed with sterile water for injection. The hyperbaric(group B, n=30) was used 0.75% bupivacaine mixed with 5% glucose for injection. The two groups were adopted mixed liquor contained bupivacaine ranging from 8 to 15 mg and the speed of injection was 0.1 ml/s. In order to maintain the anesthesia plane, all the patients kept the same puncture position for a moments as before. The onset time of anesthesia, completely block time of anesthesia, time of duration, hemodynamic changes and the incidence of adverse reactions were observed in this study.Results All the patients satisfied with the anesthesia effect in the two groups. The onset time of anesthesia and the plane of the fixed time in group A were longer than those in group B. The time of duration in group A was shorter than that in group B. A severe hemodynamic fluctuation was found in group B, which needed to add vasoactive drugs.Conclusion Both of the proportions of specific gravity of unilateral spinal anesthesia is safe on hip operation for the elderly patients, but the hemodynamic of the light specific gravity of the unilateral spinal anesthesia is more stable and feasible. |
| Key words: Different proportions of mixture Elderly patients Hip operation Unilateral spinal anesthesia |
