老年妇科病患者手术麻醉临床分析(1)
[摘要] 目的 对老年妇科患者手术麻醉方法进行分析。方法 整群选取2012年8月—2015年3月期间所收治60例行手术老年妇科疾病患者作为对象，随机分组。对照组应用布比卡因腰硬联合麻醉方案，实验组应用罗哌卡因腰硬联合麻醉方案。对比两组麻醉效果。结果 实验组麻醉总有效率为96.67%(29/30)，P>0.05。实验组心率、收缩压波动明显低于对照组，感觉、运动阻滞起效时间、恢复时间均明显短于对照组，P<0.05，差异具有统计学意义。结论 老年妇科疾病手术麻醉处理时采用罗哌卡因腰硬联合麻醉方案的临床效果确切，麻醉效果佳，心率、收缩压变化平稳，感觉、运动阻滞起效、恢复速度快，值得推广。
[关键词] 妇科病；老年患者；手术；麻醉
[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742(2015)10(b)-0104-03
Analysis of the Anesthesia Method for Gynecological Surgery in Elderly Patients
CUI Feng1， LIU Qian2
1.Department of Anesthesiology， Shandong Provincial Traditional Chinese Medical Hospital， Jinan， Shandong Province， 250011 China；2.Intensive Care Unit， Shandong Provincial Traditional Chinese Medical Hospital， Jinan， Shandong Province， 250011 China
[Abstract] Objective To analyze the anesthesia method for gynecological surgery in elderly patients. Methods 60 elderly patients admitted to the hospital between August 2012 and March 2015 who underwent gynecological surgery were included in this study. They were randomized to receive combined spinal-epidural anesthesia with levo-bupivacaine (the control group) and combined spinal-epidural anesthesia with ropivacaine (the experimental group)， and the anesthetic effect was compared between the two groups. Results The total effective rate was 96.67%(29/30) in the experimental group， higher than that in the control group，P>0.05. Heart rate， systolic blood pressure fluctuations were obviously lower， and onset and duration of motor and sensory blocks were significantly less， in the experimental group than those in the control group， and the differences were statistically significant，P<0.05. Conclusion Combined spinal-epidural anesthesia with ropivacaine for gynecological surgery in elderly patients is worthy of promotion because of its higher total efficacy， better anesthetic effect， steady heart rate and systolic blood pressure fluctuations， rapid onset of motor and sensory blocks， and quick recovery.
[Key words] Gynecological diseases； Elderly patients； Surgery； Anesthesia
妇科手术位置主要集中在盆腔内，手术风险大，对麻醉提出了较高的要求。同时，对于老年患者而言，考虑到患者自身机体年龄大，对手术的耐受性较差[1]，因此在麻醉方案的选用时还必须分析麻醉止痛以及肌肉松弛的具体效果[2-4]。为对老年妇科疾病患者手术麻醉的具体方法进行分析研究，该研究中整群选取2012年8月—2015年3月期间收治的60例需行手术治疗的老年妇科疾病患者作为研究对象，随机分组进行研究，现报道如下。
1 资料与方法
1.1 一般资料
整群选取该院住院部所收治60例需行手术治疗的老年妇科疾病患者作为研究对象，通过随机方法对60例患者进行分组，分别设置为对照组、实验组，两组患者均为30例。对照组方面，男性为16例，女性为14例，年龄区间为60～85周岁，平均为(69.8±1.5)岁；实验组方面，男性为18例，女性为12例，年龄区间为60～85周岁，平均为(71.3±1.8)岁。对比两组患者一般资料，差异无统计学意义(P>0.05)，有可比性。 (崔峰 刘茜)
[关键词] 妇科病；老年患者；手术；麻醉
[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742(2015)10(b)-0104-03
Analysis of the Anesthesia Method for Gynecological Surgery in Elderly Patients
CUI Feng1， LIU Qian2
1.Department of Anesthesiology， Shandong Provincial Traditional Chinese Medical Hospital， Jinan， Shandong Province， 250011 China；2.Intensive Care Unit， Shandong Provincial Traditional Chinese Medical Hospital， Jinan， Shandong Province， 250011 China
[Abstract] Objective To analyze the anesthesia method for gynecological surgery in elderly patients. Methods 60 elderly patients admitted to the hospital between August 2012 and March 2015 who underwent gynecological surgery were included in this study. They were randomized to receive combined spinal-epidural anesthesia with levo-bupivacaine (the control group) and combined spinal-epidural anesthesia with ropivacaine (the experimental group)， and the anesthetic effect was compared between the two groups. Results The total effective rate was 96.67%(29/30) in the experimental group， higher than that in the control group，P>0.05. Heart rate， systolic blood pressure fluctuations were obviously lower， and onset and duration of motor and sensory blocks were significantly less， in the experimental group than those in the control group， and the differences were statistically significant，P<0.05. Conclusion Combined spinal-epidural anesthesia with ropivacaine for gynecological surgery in elderly patients is worthy of promotion because of its higher total efficacy， better anesthetic effect， steady heart rate and systolic blood pressure fluctuations， rapid onset of motor and sensory blocks， and quick recovery.
[Key words] Gynecological diseases； Elderly patients； Surgery； Anesthesia
妇科手术位置主要集中在盆腔内，手术风险大，对麻醉提出了较高的要求。同时，对于老年患者而言，考虑到患者自身机体年龄大，对手术的耐受性较差[1]，因此在麻醉方案的选用时还必须分析麻醉止痛以及肌肉松弛的具体效果[2-4]。为对老年妇科疾病患者手术麻醉的具体方法进行分析研究，该研究中整群选取2012年8月—2015年3月期间收治的60例需行手术治疗的老年妇科疾病患者作为研究对象，随机分组进行研究，现报道如下。
1 资料与方法
1.1 一般资料
整群选取该院住院部所收治60例需行手术治疗的老年妇科疾病患者作为研究对象，通过随机方法对60例患者进行分组，分别设置为对照组、实验组，两组患者均为30例。对照组方面，男性为16例，女性为14例，年龄区间为60～85周岁，平均为(69.8±1.5)岁；实验组方面，男性为18例，女性为12例，年龄区间为60～85周岁，平均为(71.3±1.8)岁。对比两组患者一般资料，差异无统计学意义(P>0.05)，有可比性。 (崔峰 刘茜)