摘要
Abstract
Objective To investigate the effect of general anesthesia combined with spinal and epidural anesthesia in total hip arthroplasty.Methods The clinical data of 78 patients with femoral neck fracture surgically treated at our hospital from March,2013 to March,2015 were retrospectively analyzed.All the patients underwent minimally invasive hip replacement surgery.According to different anesthesia methods,they were divided into a general anesthesia group and an epidural group.The blood pressure during anesthesia,hemodynamic indexes,analgesic effect,and adverse reactions were compared between these two groups.Results The SBP and DBP decreased and the HR increased at T1,T2,and T3 in both groups but more in the general anesthesia group than in the epidural group (P ＜0.05).The anesthesia drug dosage was lower and the onset time of anesthesia and complete blocked time were shorter in the epidural group than in the general anesthesia group (P＜0.05).There was no statistical difference in VAS between these two groups.The incidence of adverse reactions was lower in the epidural group than in the general anesthesia group (P＜0.05).Conclusions For patients undertaking hip joint replacement surgery,general anesthesia is as anestheticly and analgesicly effective as epidural anesthesia,but epidural anesthesia causes fewer adverse reactions and is better for postoperative recovery,so it is the first choice for anesthesia.关键词
全麻/腰硬联合麻醉/髋关节置换/股骨颈骨折/效果Key words
General anesthesia/Epidural anesthesia/Hip replacement/Femoral neck fracture/Effect
