摘要
目的比较全麻与腰硬联合麻醉对老年股骨颈骨折行髋关节置换术患者的麻醉效果。方法将180例行髋关节置换术的老年股骨颈骨折患者以不同麻醉方式分为对照组(全麻)和观察组(腰硬联合麻醉),各90例。比较两组麻醉效果。结果观察组麻醉见效时间、苏醒时间均短于对照组,不良反应总发生率和术后48 h VAS评分均低于对照组(P<0.05)。观察组麻醉10、30 min及术后的收缩压和舒张压高于对照组,心率均低于对照组(P<0.05)。观察组麻醉优良率高于对照组(P<0.05)。结论给予行髋关节置换术的老年股骨颈骨折患者腰硬联合麻醉的效果更显著,术后不良反应少。
Objective To investigate the effect of general anesthesia and combined spinal and epidural anesthesia on elderly patients with femoral neck fracture undergoing hip replacement.Methods A total of 180 elderly patients with femoral neck fracture who underwent hip replacement were divided into control group(general anesthesia)and observation group(combined spinal and eplidural anesthesia)according to the different anesthesia methods,with 90 cases in each group.The anesthesia effects of the two groups were compared.Results The onset time and recovery time of anesthesia in the observation group were shorter than those in the control group,and the total incidence of adverse reactions and VAS score at 48 hours after operation were lower than those in the control group(P<0.05).The systolic and diastolic blood pressure at 10,30 min after anesthesia and after operation of the observation group were higher than those of the control group,and the heart rates were lower than those of the control group(P<0.05).The excellent and good rate of anesthesia in the observation group was higher than that in the control group(P<0.05).Conclusion Combined spinal and epidural anesthesia for elderly patients with femoral neck fracture undergoing hip replacement has more significant effect,with fewer postoperative adverse reactions.
作者
陈琦
周园
CHEN Qi;ZHOU Yuan(Weinan Central Hospital,Weinan 714000,China)
出处
《临床医学研究与实践》
2020年第12期95-96,共2页
Clinical Research and Practice
关键词
全麻
腰硬联合麻醉
老年股骨颈骨折
髋关节置换术
general anesthesia
combined spinal and epidural anesthesia
elderly femoral neck fracture
hip replacement
