全麻与腰硬联合麻醉方式在髋关节置换术中的临床效果比较(1)
[摘要] 目的 分析臨床全麻与腰硬联合麻醉方式在髋关节置换术中的临床效果。 方法 回顾性分析该院方便选取的2013年4月—2018年4月收取的120例接受髋关节置换术患者作为临床研究对象，并且按照住院的顺序分成两组各60例，其中一组给予全麻治疗也称之为全麻组，另外一组给予腰硬联合麻醉，因此，称之为腰硬联合麻醉组。分析临床2组患者的治疗效果和不良反应率、治疗后临床指标和不同时间点的血流动力学变化情况。 结果 经过以下表格分析可以有效得知，腰硬联合麻醉组应用的麻醉方式在髋关节置换术患者中的临床效果(88.4%)要远远高于全麻组(53.3%)，差异有统计学意义(χ2=3.541，P<0.05)，此外，全麻组患者在手术后出现的不良反应率(46.7%)要高出腰硬联合麻醉组(10.0%)，差异有统计学意义(χ2=6.432，P<0.05)，临床采用腰硬联合麻醉组在治疗后的临床指标情况(18.32±0.32)mL，(41.23±2.35)min，(12.34±4.32)min，(4.34±2.34)h也要优于全麻组(138.52±0.45)mL，(248.90±0.32)min，(23.32±2.09)min，(8.43±4.67)h，并差异有统计学意义(P<0.05)，最后，全麻组的不同时间点的血流动力学变化情况要低于腰硬联合麻醉组，差异有统计学意义(P<0.05)。结论 针对临床髋关节置换术患者采用腰硬联合麻醉方法，可以有效提升临床患者的治疗效果，并且减少手术后出现的不良反应，值得临床大力推广宣传。
[关键词] 全麻；腰硬联合麻醉；髋关节置换术；临床效果
[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742(2019)03(c)-0022-04
[Abstract] Objective To analyze the clinical effect of combined general anesthesia and lumbar and spinal anesthesia in hip arthroplasty. Methods A retrospective analysis of 120 patients who underwent hip arthroplasty from April 2013 to April 2018 was convenient selected as a clinical study subject. They were divided into two groups according to the order of hospitalization， and one group was given general anesthesia. Treatment is also called the general anesthesia group， and the other group is given combined with spinal and epidural anesthesia. Therefore， it is called the combined spinal and epidural anesthesia group. The therapeutic effects and adverse reaction rates of the two groups of patients， the clinical indicators after treatment and the hemodynamic changes at different time points were analyzed. Results According to the following table analysis， it can be effectively found that the clinical effect of the anesthesia method applied in the combined spinal anesthesia group in hip replacement surgery (88.4%) is much higher than that in the general anesthesia group (53.3%)， The difference was significant (χ2=3.541，P<0.05). In addition， the adverse reaction rate (46.7%) in the general anesthesia group was higher than that in the lumbar and hard anesthesia group (10.0%)， Sexuality was clinically significant (χ2=6.432，P<0.05). The clinical indicators of the combined use of the combined spinal and epidural anesthesia group (18.32±0.32)mL，(41.23±2.35)min， (12.34±4.32)min，(4.34±2.34)h were also superior to the general anesthesia group (138.52±0.45)mL，(248.90±0.32)min，(23.32±2.09)min，(8.43±4.67)h， and the difference was large (P<0.05). Finally， the hemodynamic changes at different time points in the general anesthesia group were lower than those combined with lumbar and hard anesthesia. Groups with significant differences in analysis (P<0.05). Conclusions For patients with clinical hip arthroplasty， the combination of spinal and epidural anesthesia can effectively improve the therapeutic effect of clinical patients and reduce the adverse reactions after surgery， which is worthy of clinical promotion., 百拇医药(瞿煦临 顾晓辉 周磊)
[关键词] 全麻；腰硬联合麻醉；髋关节置换术；临床效果
[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742(2019)03(c)-0022-04
[Abstract] Objective To analyze the clinical effect of combined general anesthesia and lumbar and spinal anesthesia in hip arthroplasty. Methods A retrospective analysis of 120 patients who underwent hip arthroplasty from April 2013 to April 2018 was convenient selected as a clinical study subject. They were divided into two groups according to the order of hospitalization， and one group was given general anesthesia. Treatment is also called the general anesthesia group， and the other group is given combined with spinal and epidural anesthesia. Therefore， it is called the combined spinal and epidural anesthesia group. The therapeutic effects and adverse reaction rates of the two groups of patients， the clinical indicators after treatment and the hemodynamic changes at different time points were analyzed. Results According to the following table analysis， it can be effectively found that the clinical effect of the anesthesia method applied in the combined spinal anesthesia group in hip replacement surgery (88.4%) is much higher than that in the general anesthesia group (53.3%)， The difference was significant (χ2=3.541，P<0.05). In addition， the adverse reaction rate (46.7%) in the general anesthesia group was higher than that in the lumbar and hard anesthesia group (10.0%)， Sexuality was clinically significant (χ2=6.432，P<0.05). The clinical indicators of the combined use of the combined spinal and epidural anesthesia group (18.32±0.32)mL，(41.23±2.35)min， (12.34±4.32)min，(4.34±2.34)h were also superior to the general anesthesia group (138.52±0.45)mL，(248.90±0.32)min，(23.32±2.09)min，(8.43±4.67)h， and the difference was large (P<0.05). Finally， the hemodynamic changes at different time points in the general anesthesia group were lower than those combined with lumbar and hard anesthesia. Groups with significant differences in analysis (P<0.05). Conclusions For patients with clinical hip arthroplasty， the combination of spinal and epidural anesthesia can effectively improve the therapeutic effect of clinical patients and reduce the adverse reactions after surgery， which is worthy of clinical promotion., 百拇医药(瞿煦临 顾晓辉 周磊)