Clinical observation of the combined spinal-epidural anesthesia in aged patients undergoing hip arthroplasty surgery

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.