Comparison of the application of spinal-epidural anesthesia and epidural anesthesia in the surgery of the elderly patients over age of 75
10.3760/cma.j.issn.1008-6706.2013.16.010
- VernacularTitle:腰-硬联合麻醉与硬膜外麻醉在75岁以上老年患者手术中的应用比较
- Author:
Yuqiang SU
- Publication Type:Journal Article
- Keywords:
Spinal-epidural anesthesia;
Epidural anesthesia;
Elderly
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(16):2424-2426
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect and safety of spinal-epidural anesthesia(CSEA) and epidural anesthesia(EA) in the surgery of the elderly patients over age of 75.Methods 96 elderly patients over the age of 75 with lower limb surgery and the ASA Ⅱ ～ Ⅲ grade were randomly divided into two groups according to the anesthesia method.The study group(48 cases) was treated with CSEA and the control group(48 cases) was given EA.The heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP),oxygen saturation (SpO2) before anesthesia (T0),after anesthesia(T1),after the beginning of surgery(T2) and the end of the surgery(T3) were recorded.And the onset time,block perfect time,anesthetic effect and adverse reaction were observed.Results The HR,SBP,DBP,and SpO2 between the two groups and within the two groups had no statistically significant differences (P ＞ 0.05) ;the onset time and complete block time of anesthesia of the study group were significantly shorter than the control group (P ＜ 0.05),the anesthetic effect of the study group was significantly better than the control group (P ＜ 0.05).The incidence rate of adverse reactions had no statistically significant difference between the two groups (P ＞ 0.05).Conclusion CSEA has rapid onset of anesthetic and the anesthetic effect is good,it has few adverse reactions for elderly patients with lower limb surgery,and it is safe and effective,which is worth to be promoted and popularized in clinical.
