Clinical observation of the combined spinal-epidural anesthesia in aged patients undergoing hip arthroplasty surgery
10.3760/cma.j.issn.1008-6706.2014.02.017
- VernacularTitle:轻比重罗哌卡因用于高龄患者腰-硬联合麻醉髋关节手术的临床观察
- Author:
Guohai WANG
;
Wencheng JIAO
- Publication Type:Journal Article
- Keywords:
Combined spinal-epidural anesthesia;
Hip arthroplasty;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(2):197-199
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of combined spinal-epidural anesthesia (CSEA) with small dose of ropivacaine on the circulatory and respiratory function in aged patients undergoing hip arthroplasty surgery.Methods Forty ASA Ⅱ or Ⅲ patients were randomly divided into two groups,20 cases in each group.In group A,0.25% ropivacaine 5-7mg was given for spinal block and 0.25% ropivacaine for epidural block.Patients in group B were given 0.5 % bupivacaine 8-10mg and 0.375% bupivacaine,respectively.The anesthetic efficacy,BP,HR,SpO2,Bromage score were recorded.Results The analgesic plane was T8-T10 in group A,and that was T6-T8 in group B.The changes of BP,HR,SpO2 in group A were less than those in group B.Bromage scores of group A were 1-2 for nonoperative extremity and 0-1 for the operative extremity,which were 3-4 for two extremities in group B.Conclusion The CSEA with 0.25% ropivacaine 5-7mg for spinal block and 0.25% ropivacaine for epidual block is suitable for patients undergoing hip arthroplasty surgery.