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《Chinese Journal of General Practice》 2009-03
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Application of CSEA in Lower Abdominal Operation and Lower Limb Operation for Aged Patients

DU Chang-huang,JIA Gui-fang.Department of Anesthesiology,the People's Hospital of Huaibei,Anhui 235000,China  
Objective To study the safety and efficacy of the combined spinal-epidural anesthesia(CSEA) with bupivacaine in lower abdominal operation and lower limb operation for aged patients.Methods Sixty ASA grade Ⅱ-Ⅲ elderly patients were divided into namely group CSEA(30 cases) and group EA(epidural anaesthesia,30 cases),L3~4 or L2~3 intervertebral space was puncture point in both groups.Continous epidural anesthesia was performed in group EA.Bupivacaine 6-10 mg were injected into subarachnoid at the speed of 0.1 ml/s and appropriate EA was carried out with 2% lidocaine if necessary.Needling method was used for sensory block assessment,modified Bromage scale was used for evaluating motor block meanwhile the dosage efficacy and side effects of drugs were recorded.Results The sensory block and perfect block occurred earlier in group CSEA than in group EA(P0.01).Group CSEA had a better effect(P0.05).Bromage scale in group CSEA was higher than that in group EA(P0.05 or P0.01),but the side effect was not different significantly between two groups.Conclusion Combined spinal-epidural anaesthesia with correct dosage of bupivacaine is safe and effective in elderly patients.
【CateGory Index】: R614.42
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1 LIANG Jun,PANG Xiao-jun,HUANG Qing.The Second People′s Hosipital of Qinzhou City,Guangxi,Qinzhou 535000,China;Clinical study on the combined anesthesia of lumbar with 2% levobupivacaine and epidural on lateral position of replacement of total hip[J];Chinese Journal of Clinical Rational Drug Use;2009-19
2 ZHANG Rui,HUANG Hao.Department of Gynecology,Nanhai Hospital Affiliated to Southern Medical University,Foshan 528200,Guangdong,China;Clinical Analysis of Perioperative Management of 120 Elderly Gynecological Patients[J];Chinese Journal of General Practice;2009-08
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【Secondary References】
Chinese Journal Full-text Database 1 Hits
1 WANG Tian-bao,LIN Wei-hao,YE Zhi-jun,et al.Department of Surgery,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Gongdong,China;Perioperative Treatment Strategies for Patients with Gastrointestinal Carcinoma Combining with Hypertension[J];Chinese Journal of General Practice;2010-12
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