Objective To compare the clinical effects of combined
anesthesia of
lumbar plexus -
sciatic nerve and superior clunial nerve versus spinal-
epidural analgesia in
total hip replacement .
Methods Fifty cases of
total hip replacement were randomly divided into two groups.
Patients in group A received combined
anesthesia of
lumbar plexus -
sciatic nerve and superior clunial nerve,while
patients in group B received spinal-
epidural analgesia . Results There were no significant differences in preoperative HR, SBP,DBP and
SpO2 between the groups(P > 0. 05). Compared with pre-
anesthesia data,HR,SBP,DBP in group A were significantly lower during the
anesthesia (P 0. 05).
Patients ′
heart rate in group A showed significant changes compared with that in group B. The differences in HR,SBP and DBP between group A and B at the same
time points were significant(P < 0. 05). Superior rate of
anesthesia in group B is higher than that in group A(P < 0. 05). Conclusion Combined
anesthesia of
lumbar plexus -
sciatic nerve and superior clunial nerve has limited influence on the circulatory and
respiratory systems ,which can be used for
total hip replacement .