安徽医科大学学报2016，Vol.51Issue(7)：1062-1065,1066,5.
3种麻醉方式对老年髋关节置换手术患者术后转归的影响
Effects of three different anesthesia methods on outcomes in elderly patients receiving hip replacement operation
摘要
Abstract
Objective To investigate the effects of three different anesthesia methods on outcomes in elderly pa -tients receiving hip replacement operation .Methods One hundred and twenty elderly patients (aged 65 ~80 years old) undergoing hip replacement operation were randomly divided into three groups , and there were 40 patients in each group: general anesthesia group (group A),intraspinal anesthesia group (B), intraspinal anesthesia and se -dation with low-dose of Dexmedetomidine group (C).All patients received incision local anesthesia plus patient controlled intravenous analgesia (PCIA).The blood loss and transfusion volume and operating time were recorded . Patient comfort levels were investigated; the occurrence of stroke, postoperative delirium, respiratory and cardiovas-cular complications were also recorded .Simultaneously,pain was evaluated using VAS score after operation ; early ambulation time ,side effects during recovery time, days of hospitalization after operation, length of ICU stay, post-operative 30 day mortality were also recorded.Results There was no difference in the blood loss , transfusion and operating time in the three groups.Compared with the group B , patient comfort levels were better in the group C and the group A(P <0.05), and it has no statistical significance between group C and group A .Delirium occur-rence , VAS score and early ambulation time in group A was significantly higher than patients in group C and group B (P <0.05).There were no differences in the occurrence of stroke , postoperative respiratory complications , car-diovascul complications, side effects during recovery time , days of hospitalization after operation and mortality in 30 days among the three groups.Conclusion The method of intraspinal anesthesia and sedation with low dose of Dexmedetomidine is better than general anesthesia or intraspinal anesthesia for elderly patients with hip replace -ment.关键词
麻醉方案/老年患者/髋关节置换术/术后转归Key words
anesthesia methods/elderly patients/hip replacement/postoperativeoutcome分类
医药卫生引用本文复制引用
张曙报,顾尔伟,王靖宇,吕文艳..3种麻醉方式对老年髋关节置换手术患者术后转归的影响[J].安徽医科大学学报,2016,51(7):1062-1065,1066,5.基金项目
安徽省科技攻关计划项目(1301042204) （1301042204）
