中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (22): 4134-4136.doi: 10.3969/j.issn.1673-8225.2011.22.035

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

高龄髋关节置换者实施不同密度腰麻-硬膜外联合麻醉效果的评价

于子红   

  1. 沈阳市骨科医院麻醉科， 辽宁省沈阳市  110044
  • 收稿日期:2011-03-02 修回日期:2011-04-26 出版日期:2011-05-28 发布日期:2011-05-28
  • 作者简介:于子红，女，1962年生，辽宁省阜新市，汉族，2006年中国医科大学毕业，副主任医师，主要从事麻醉研究。 358886635@qq.com

Effect of spinal-epidural anesthesia with different proportions on elderly hip replacement

Yu Zi-hong   

  1. Department of Anesthesiology, Shenyang Orthopedics Hospital, Shenyang  110044, Liaoning Province, China
  • Received:2011-03-02 Revised:2011-04-26 Online:2011-05-28 Published:2011-05-28
  • About author:Yu Zi-hong, Associate chief physician, Department of Anesthesiology, Shenyang Orthopedics Hospital, Shenyang 110044, Liaoning Province, China 358886635@qq.com

PDF

431

被引次数

20

摘要：

背景：目前老年髋关节置换常用的麻醉方法有等密度，高密度，低密度腰麻-硬膜外联合麻醉。比较不同密度腰麻-硬膜外联合麻醉在老年髋关节置换中的应用效果，以寻求最好的用药方案。
目的：对高密度、等密度、低密度的麻醉用药方案、麻醉起效时间、麻醉维持时间、Bormage 运动阻滞评分进行分析。
方法：以“髋关节置换术，腰麻-硬膜外联合麻醉；以:“hip replacement,combined spinal-epdural anesthsia” 为英文关键词，采用计算机检索2000-01/2011-05相关文章。纳入与有关髋关节置换术腰麻-硬膜外联合相关的文章；排除重复研究或Meta分析类文章。以15篇文献为主重点对腰麻-硬膜外联合麻醉各种用药方案麻醉效果进行分析。
结果与结论：几种密度的药液均能满足髋关节置换要求。高密度及等密度的药液对于低密度的药液来讲Bromagc评分更高一些，阻滞效果也更完善一些。麻醉的起效时间根据药液的配比来讲，3 g/L的罗哌卡因可能更快一些。麻醉持续时间高密度与等密度药液明显长于低密度的药液。等密度，高密度，低密度腰麻-硬膜外联合麻醉在老年髋关节置换术中的应用均是安全可靠的。

关键词: 髋关节置换, 腰麻-硬膜外联合麻醉, 药液密度, 老年, 麻醉持续时间, Bromagc评分

Abstract:

BACKGROUND: Now, anesthesia methods commonly used in the elderly include equal-density, high-density and low-density spinal-epidural anesthesia. The best anesthesia regimen can be chosen based on comparison of different proportion of spinal-epidural anesthesia.
OBJECTIVE: To analyze and compare the drug regimen, onset time of anesthesia, anesthesia duration, Bormage motor blocking score among different proportion of spinal-epidural anesthesia.
METHODS: A computer based search was performed to retrieve articles about spinal-epidural anesthesia for hip replacement published from 2000-01 to 2011-05 using the keywords of “hip replacement, combined spinal-epidural anesthesia” in Chinese and English. Repetitive articles or Meta analysis were excluded. Finally, 15 articles were included in the result analysis.
RESULTS AND CONCLUSION: These proportions of the liquid can meet the requirements of total hip replacement. The Bromagc scores of the high-density and equal-density spinal-epidural anesthesia were higher than that of the low-density anesthesia. The onset time of 3 g/L ropivacaine regimen could be faster. Duration of high-density and equal-density anesthesia was longer than that of low-density anesthesia. Equal-density, high-density and low-density spinal-epidural anesthesias are all safe and reliable in elderly hip replacement.

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