Application of Three Anesthesia Methods in Total Hip Replacement Surgery for Aged Patients

Objective To compare the clinical application of combined spinal-epidural anesthesia,epidu-ral anesthesia and general anesthesia in total hip replacement surgery for aged patients.Methods 60 aged pa-tients(80 years old) with one-side total hip replacement surgery were randomly divided in to 3 groups:group A(combined spinal-epidural anesthesia n=20);group B(epidural anesthesia n=20);group C(general anesthesia n=20) .The changes of hemodynamics,the rate of use of sedative,hypertensive,hypotensive a-gents,and the onset of anesthesia,operation,awake,PACU stay time were recorded respectively.Results The changes of hemodynamics had no significantly difference among the three groups;the awake and PACU stay time of group C was longer than that of group A(P0.01) ,the PACU stay time of group B was longer than that of group A(P0.05) also,the rate of use of sedative,hypertensive,hypotensive agent of group C was higher than that of group A during operation,the rate of use of sedative agent of group B was higher than that of group A also. Conclusion Compared with epidural anesthesia and general anesthesia,combined spinal-epidural anesthesia is more convenient for aged patients with total hip replacement surgery.