两种麻醉方式用于髋关节置换术的临床对比分析

摘要

Objective:To analyze the two kinds of anesthesia used in the clinical curative effect of hip arthroplasty.Method:92 cases from May 2012 to May 2013 undergoing hip replacement were selected as the research object,the patients were randomly divided into observation group and control group,46 patients in each group.Control group was adopted epidural anesthesia,observation group with combined spinal-epidural anesthesia method,anesthetic effect in two groups of patients was comparative analysed.Result:The results showed that the anesthetic effect of observation group was obviously better than the control group(P<0.05),and the observation group of patients with heart rate and blood pressure changes before and after anesthesia were significantly lower than the control group(P<0.05).Conclusion:Applied in the hip replacement,the clinical effect of combined spinal-epidural anesthesia is better than that of epidural anesthesia, can effectively improve the effect of anesthesia,and reduce the influence on heart rate and blood pressure,is worthy of popularization and application in clinical application.%目的：对比分析两种麻醉方式用于髋关节置换术的临床疗效。方法：收集2012年5月-2013年5月笔者所在医院实施髋关节置换术的患者92例作为研究对象，采用随机分组的方式将患者分为观察组与对照组，每组46例。对照组采用硬膜外麻醉，观察组采用腰-硬联合麻醉方法，对两组患者的麻醉效果进行分析对比。结果：研究结果显示，观察组的麻醉效果明显优于对照组(P<0.05)，且观察组患者麻醉过程中心率和血压值变化幅度明显低于对照组(P<0.05)。结论：在髋关节置换术中应用腰-硬联合麻醉的临床效果优于硬膜外麻醉，能有效提高麻醉效果，并减少对心率和血压的影响，值得在临床应用上推广应用。