单侧腰麻在老年患者下肢手术中的应用效果

摘要

目的 探讨单侧腰麻在老年患者下肢手术中的应用效果及安全性.方法 将2009年1月-2010年1月间在我院行下肢手术治疗的老年患者60例,随机分为观察组和对照组各30例,对照组给予硬膜外麻醉,观察组给予单侧腰麻.结果 麻醉后观察组患者MAP、HR分别为(108.22±2.35)mmHg、(76.22±2.10)次/min,对照组分别为(97.20±2.40)mmHg、(73.26±2.14)次/min,观察组患者MAP、HR明显优于对照组,两组比较差异具有统计学意义(P＜0.05).观察组患者起效时间、阻滞完全时间、辅助用药以及局麻药用量方面均优于对照组,两组比较差异具有统计学意义(P＜0.05).观察组麻醉后不良反应总发生率为3.33%,对照组为30.00%,两组比较差异具有统计学意义(P＜ 0.05).结论 单侧腰麻在老年患者下肢手术中的应用效果确切,且并发症少,值得应用.%Objective To explore the efficacy and safety of unilateral spinal anesthesia for lower surgery in our hospital from January 2009 to January 2010 were randomly assigned to receive unilateral spinal anesthesia (study were (108.22 ± 2.35)mmHg and (76.22 ± 2.10)/min in the study group and (97.20 ± 2.40) mmHg and (73.26 ± 2.14)/min in the control group. MAP and HR in the study group were superior to those in the control group,with a significant difference (P＜0.05). The onset time,full blockage time,adjuvant drug use,and dosage of local anaesthetics in the study group were superior to those in the control group and there was a significant difference (P＜0.05). The rate of adverse reactions differed significantly between the study group and the control group (3.33％ vs 30.00％,P＜0.05). Conclusion Unilateral spinal anesthesia is effective in lower limb surgery for elderly patients and has fewer complications. It is worth popularizing.