2023年5月第30卷第5期全身麻醉与椎管内麻醉在老年髋关节置换术患者中的应用效果对比王莎，乔孝武（巩义市人民医院麻醉与围术期医学科，河南郑州451200）【摘要】目的对比全身麻醉与椎管内麻醉在老年髋关节置换术（HA）患者中的应用效果。方法选取2018年2月至2021年2月在我院行HA治疗的88例老年患者，根据麻醉方案不同分为全身麻醉组和椎管内麻醉组各44例。比较两组患者不同时间点的血流动力学指标［平均动脉压（MAP）、心率（HR）］、麻醉优良率及并发症发生率。结果T1时，两组的MAP、HR比较差异无统计学意义（P＞0．05）；T2、T3时，椎管内麻醉组的MAP、HR均低于全身麻醉组（P＜0．05）。椎管内麻醉组麻醉优良率高于全身麻醉组，并发症发生率低于全身麻醉组（P＜0．05）。结论与全身麻醉相比，椎管内麻醉可更有效维持老年HA患者围术期血流动力学稳定，降低并发症发生率，麻醉效果更佳。【关键词】全身麻醉；椎管内麻醉；髋关节置换术中图分类号：R614文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0631ComparisonontheApplicationEffectsofGeneralAnesthesiaandIntraspinalAnesthesiainElderlyPatientsUndergoingHipArthroplasty//WANGSha,QIAOXiaowu(DepartmentofAnesthesiaandPerioperativeMedicine,GongyiPeople'sHospital,Zhengzhou451200,China)[Abstract]ObjectiveTocomparetheeffectsofgeneralanesthesiaandintralesionalanesthesiainelderlypatientsundergoinghiparthroplasty(HA).Methods88elderlypatientsundergoingHAinourhospitalfromFebruary2018toFebruary2021wereselectedanddividedintogeneralanesthesiagroup(44cases)andintraspinalanesthesiagroup(44cases)accordingtothedifferentanesthesiaschemes.Thehemodynamicindicators[meanarterialpressure(MAP),heartrate(HR)]atdifferenttimepoints,theexcellentandgoodrateofanesthesiaandtheincidenceofcomplicationswerecomparedbetweenthetwogroups.ResultsAtT1,nostatisticaldifferencewasfoundintheMAPandHRbetweenthetwogroups(P>0.05);AtT2andT3,theMAPandHRoftheintraspinalanesthesiagroupwerelowerthanthoseofthegeneralanesthesiagroup(P<0.05).Theexcellentandgoodrateofanesthesiaintheintraspinalanesthesiagroupwashigherthanthatinthegeneralanesthesiagroup,andtheincidenceofcomplicationswaslowerthan38.64%inthegeneralanesthesiagroup(P<0.05).Conclus...
