【摘要】 目的探讨不同手术方式用于老年患者手术的临床效果。方法选取本院2010年3月至2013年3月收治过的进行骨科手术的老年患者48例,将所有患者随机分为3组(分别为Ⅰ、Ⅱ、Ⅲ组),每组各16例。Ⅰ组采用腰丛复合浅全麻术;Ⅱ组采用全麻术;Ⅲ组采用腰麻联合硬膜外麻醉方法。比较麻醉前后以及手术中1 h这几个阶段患者的心率及中心静脉压等血流动力学指标,并对三种麻醉方式的效果进行评价。结果三种麻醉方式均能取得满意的疗效,且各组间差异无统计学意义(P>0.05)。三种麻醉方式对中心静脉压(CVP)、心率(HR)的影响存在差异,各组内各时间点间血流动力学变化存在差异。结论老年患者骨科手术采用腰丛复合浅全麻血流动力学变化较稳定。对于老年手术患者,应根据患者的具体情况,选取合适的麻醉方式。更多还原

【Abstract】 Objective To explore clinical effects of different anesthesia techniques in aged patients’ surgery.Methods 48 cases of elderly patients accepted by our hospital during March 2010 to March 2013 were underwent orthopaedic surgery.All patients were seperated into 3 groups randomly,each group had 16 cases.Patients in group Ⅰ treated with the lumbar plexus composite shallow anesthesia surgery,while patients in groupⅡ treated with general anesthesia surgery,and patients in group Ⅲ treated with lumbar hemp combined epidural anesthesia.Compare and evaluate the effects of 3 different anesthesia techniques.Results All 3 anesthesia techniques can accquire satisfying effects,and the differences between each group were not significant(P>0.05).CVP、HR differed significantly among groups and there was no significant difference among groups with respect to the other hemodynamics indexes.Conclusion Lumbar plexus block is superior to general anesthesia or CSEA,and the invasive hemodynamics is more stability for the elderly undergone hip surgery.And we should adopt suitable anesthesia for elderly patients according to their particular physical conditions.更多还原