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目的观察髋关节置换术患者分别应用全麻和腰硬联合麻醉的临床效果。方法回顾性分析2011年10月～2012年10月我院收治的56例行髋关节置换术患者的临床资料，将其随机分为全麻组（GA组）和腰硬联合麻醉组（CESA组），每组各28例患者，比较两组患者麻醉效果及血流动力学的变化。结果CESA组T0、T1、T2、T3、T4时的HR、SPB、DPB均明显小于对照组，且麻醉用药剂量、患者感觉阻滞起效、阻滞完全时间以及麻醉的效果均明显优于对照组（P＜0.05），两组患者均未出现严重的并发症。结论腰硬联合麻醉应用于髋关节置换术中较全麻效果好，因患者血液动力学稳定，且不良反应少，值得临床广泛应用。“,” Objective Observe the hip replacement patients with general anesthesia respectively and the clinical effect of waist hard joint anesthesia. Methods Were retrospectively analyzed from October 2011 to October 2011 of our hospital clinical data of 56 patients who underwent hip replacement, which were randomly divided into general anesthesia group (GA) and Waist hard joint anesthesia (CESA) waist hard joint anesthesia group, each group of 28 patients, compared two groups of patients with anesthesia effect and hemodynamic changes. Asaresult CESA CESA T0, T1, T2, T3, T4 of HR、SPB、DPB were significantly less than the control group, and anesthetic drug dose, patients feel anesthesia effect, block ful time as wel as the effect of anesthesia is better than the control group (P ﹤ 0.05), two groups of patients with no serious complications occurred. Conclusion Waist hard joint anesthesia applied in the hip replacement in the anesthesia effect is good, for patients with stable hemodynamics, and less adverse reactions, worthy of clinical application widely.