【摘要】 目的：对比不同麻醉方式对高龄全髋关节置换术临床干预效果。方法 ：随机选取我院收治的老年全髋关节置换术患者60例，将其分为全身麻醉组(GA组)和腰麻-连续硬膜外麻醉组(CSEA组)，全身麻醉组患者行常规诱导麻醉后静脉滴注丙泊酚，腰麻-连续硬膜外麻醉组患者于L2～3椎间隙穿刺蛛网膜下注射罗哌卡因。观察记录两组患者效果。结果：腰麻-连续硬膜外麻醉组术后七天 术后认知功能障碍发生率低于全身麻醉组(P<0.05)。结论：高龄患者在全髋关节置换术中采用腰麻-连续硬膜外麻醉，效果显著，值得临床推广。

    【关键词】 老年患者;全髋关节置换术;麻醉

    Abstract： objective to compare the clinical effects of different anesthesia methods on total hip replacement in elderly patients. Methods 60 elderly patients with total hip replacement in our hospital were randomly selected and divided into the general anesthesia group (GA group) and the lumbo-continuous epidural anesthesia group (CSEA group).The effects of the two groups were observed and recorded. Results the incidence of POCD in CSEA group was lower than that in GA group (P<0.05). Conclusion lumbar anesthesia with continuous epidural anesthesia in total hip arthroplasty is effective and worthy of clinical promotion.

    全髋关节置换术为临床骨科治疗髋关节疾病常见的手术方式 ......