椎管內(nèi)麻醉聯(lián)合右美托咪定在老年髖關節(jié)置換術中的應用價值

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【摘要】目的：探討椎管內(nèi)麻醉聯(lián)合右美托咪定在老年髖關節(jié)置換術中的應用價值。方法：選取2018年11月—2021年11月我院的70例老年髖關節(jié)置換術患者，隨機分成兩組。兩組均采取椎管內(nèi)麻醉，觀察組聯(lián)合使用右美托咪定。結果：觀察組的泌尿系統(tǒng)感染、認知功能障礙、心血管系統(tǒng)感染和呼吸系統(tǒng)感染發(fā)生率明顯低于對照組（P0.05），住院和術后麻醉留觀時間方面的比較結果顯示，觀察組比對照組更短（P

【關鍵詞】椎管內(nèi)麻醉；右美托咪定；老年髖關節(jié)置換術

The application value of spinal anesthesia combined with dexmedetomidine in elderly hip replacement surgery

HE Shijun， WANG Huiling， YAO Yan

Jiayuguan First People’s Hospital， Jiayuguan， Gansu 735100， China

【Abstract】Objective： To explore the application value of spinal anesthesia combined with dexmedetomidine in elderly hip replacement surgery. Method： 70 elderly patients undergoing hip replacement surgery in our hospital from November 2018 to November 2021 were randomly divided into two groups. Both groups received spinal anesthesia， while the observation group received a combination of dexmedetomidine. Results The incidence of urinary system infection， cognitive dysfunction， cardiovascular system infection and respiratory system infection in the observation group was significantly lower than that in the control group （P0.05）. The hospitalization time and postoperative anesthesia observation time of the observation group were significantly shorter than those of the control group （P

【Key Words】Intraspinal anesthesia； Dexmetomidine； Elderly hip replacement surgery

老年髖關節(jié)置換術患者機體各個臟器的功能逐漸出現(xiàn)退化，與青年患者相比，其器官功能的代償能力相對更弱，因而，手術過程中的麻醉均會對患者的身體造成不同嚴重程度的影響[1]。（剩余4492字）