腰-硬联合麻醉对老年骨科手术患者应激反应及血流动力学的影响

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Abstract Objective To investigate the influence of combined spinal-epidural anesthesia (CSEA)on stress response and hemodynamics in senile patients with orthopedic surgery.Methods 100 senile patients with fracture received surgery in our hospital from February 2015 to February 2016 were selected as the research object,and they were divided into the observation group and the control group according to random number table method,50 cases in each group.The patients in control group was given general anesthesia,while the patients in observation group was given CSEA.The stress response and changes of hemodynamic indexes were compared between the two groups.Results The epinephrine,angiotensin,renin,norepinephrine in the observation group was lower than that in the control group,with statistical difference(P＜0.05).Before the anesthesia,the level of DBP,SBP,HR between the two groups were compared,there was no statistical difference(P＞0.05).After the anesthesia for 10 min and 30 min,the levels of DBP,SBP,HR in the two groups significantly decreased compared with those before anesthesia,and the descend speed of the control group was more quicker,with statistical difference (P＜0.05).Conclusion CSEA in senile patients with orthopedic surgery is effective,it can reduce stress response and improve indexes of hemodynamics,which is worthy of clinical application.

Key words： Combined spinal-epidural anesthesia Senile Orthopedic surgery Stress response Hemodynamics

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	Articles by authors
	WAN Xiao-yong
	TU Chuan-gang
	DENG Sheng-wen

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WAN Xiao-yong,TU Chuan-gang,DENG Sheng-wen. Influence of combined spinal-epidural anesthesia on stress response and hemodynamics in senile patients with orthopedic surgery[J]. 中国当代医药, 2017, 24(27): 34-36.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I27/34

[1]	李海泉.全身麻醉联合硬膜外麻醉对老年骨科患者术后认知功能的影响[J].中国当代医药，2016，23（2）：109-111.
[2]	周红梅，邓龙蛟，李水英，等.不同麻醉方法对下肢骨科手术老年患者术后认知功能障碍的影响[J].海南医学，2016，27（8）：1324-1326.
[3]	王东.全身麻醉和硬膜外麻醉对老年骨科患者术后短期认知功能的影响[J].中国当代医药，2016，23（5）：112-115.
[4]	袁亮婧，常颖，伊军.腰-硬联合麻醉对高龄髋部手术患者的应用效果分析[J].医学临床研究，2016，33（6）：1210-1212.
[5]	喻金政.不同麻醉方式应用于老年骨科患者术后镇痛效果分析[J].检验医学与临床，2015，12（17）：2584-2586.
[6]	高喜文，段强.老年骨科患者腰-硬联合麻醉的临床效果及安全性[J].中国老年学杂志，2014，34（23）：6799-6801.
[7]	涂琴琴.全身麻醉联合硬膜外麻醉对髋部以下骨科手术患者凝血功能的影响[J].中国医药，2016，11（5）：704-707.
[8]	瞿巍巍，王志云，黄培.硬膜外麻醉与静脉全身麻醉对老年骨科手术术后精神状态及认知功能的影响[J].中国医师杂志，2016，18（3）：453-455.
[9]	袁芬.瑞芬太尼复合丙泊酚对老年骨科手术患者炎症因子及术后认知功能的影响[J].中国老年学杂志，2017，37（3）：673-675.
[10]	魏砚砚，张月朋，耿玉兰，等.手术致术后认知功能障碍老年患者的铁代谢变化[J].现代中西医结合杂志，2017，26（7）：704-707.
[11]	卢明军，郭建荣，王红军.不同血液稀释方法对老年骨科手术患者血流动力学的影响[J].西南国防医药，2017，27（1）：60-62.
[12]	王丽君，应江明，斯小龙.连续心排量技术监测全麻联合硬膜外麻醉对老年下肢骨折手术患者血流动力学的影响[J].中华全科医学，2017，15（2）：255-257，285.
[13]	张轶英，田奔，巩孝文，等.右美托咪定联合尼卡地平用于老年骨科手术患者控制性降压时对炎症因子的影响[J].现代生物医学进展，2017，17（17）：3370-3373.
[14]	冯激波，张磊，吴恙，等.右美托咪定对创伤骨科手术患者氧化应激与炎症反应的影响[J].中华全科医学，2017，15（6）：951-953.
[15]	郭红利，张先杰，周裕凯，等.不同麻醉药物对老年骨科手术患者术后认知功能的影响及其机制[J].中国医院药学杂志，2017，37（7）：643-646.