摘要
目的观察腰硬联合麻醉、全身麻醉在老年患者股骨颈骨折手术中的麻醉效果。方法将2017年3月至2018年10月在本院行股骨颈骨折手术的72例老年患者随机分为观察组和对照组,各36例。对照组行全身麻醉,观察组行腰硬联合麻醉。比较两组的麻醉效果。结果麻醉后24h,观察组的MMSE评分高于对照组,差异有统计学意义(P<0.05);观察组的术后VAS评分低于对照组,差异有统计学意义(P<0.05);观察组麻醉生效时间、意识恢复时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率为8.33%,显著低于对照组的27.78%,差异有统计学意义(P<0.05);观察组的麻醉镇痛优良率为94.44%,显著高于对照组的75.00%,差异有统计学意义(P<0.05)。结论相较于全身麻醉,腰硬联合麻醉在老年患者股骨颈骨折手术中具有更理想的麻醉效果,其有利于患者快速恢复意识,减轻疼痛,缩短住院时间,并发症发生率低且麻醉镇痛效果更好,是一种高效安全的麻醉方案,值得临床推广。
Objective To observe the anesthetic effect of combined spinal-epidural anesthesia and general anesthesia in the surgery of femoral neck fracture in elderly patients. Methods Seventy-two elderly patients who underwent femoral neck fracture surgery in our hospital from March 2017 to October 2018 were randomly divided into observation group and control group, with 36 cases in each group. The control group underwent general anesthesia and the observation group underwent combined spinal-epidural anesthesia. The anesthesia effects of the two groups were compared. Results At 24 hours after anesthesia, the MMSE score in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The postoperative VAS score of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05). The effective time of anesthesia, recovery time of consciousness and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was 8.33%, which was significantly lower than 27.78% of the control group, and the difference was statistically significant (P<0.05). The excellent and good rate of anesthesia and analgesia in the observation group was 94.44%, which was significantly higher than 75.00% in the control group, and the difference was statistically significant (P<0.05). Conclusion Compared with general anesthesia, combined spinal-epidural anesthesia has better anesthetic effect in the femoral neck fracture surgery in elderly patients, which is beneficial to patients to quickly restore consciousness, reduce the pain and shorten hospital stay, with a low incidence of complications and better effect of analgesic and anesthesia. It is an effective and safe anesthetic scheme, which is worthy of clinical promotion.
作者
许玉军
陆振华
XU Yu-jun;LU Zhen-hua(Traditional Chinese Medicine Hospital of Jingbian County,Yulin 718500;Traditional Chinese Medicine Hospital of Yulin City,Yulin 719000,China)
出处
《临床医学研究与实践》
2019年第21期32-34,共3页
Clinical Research and Practice
关键词
股骨颈骨折手术
腰硬联合麻醉
全身麻醉
femoral neck fracture surgery
combined spinal-epidural anesthesia
general anesthesia
