神经阻滞联合气管插管全麻在老年髋部手术中的临床应用  

Clinical Application of Nerve Block Combined with Tracheal Intubation General Anesthesia in Elderly Hip Surgery

作　　者：冯秀芬[1] 邓海洪 苏慧 FENG Xiufen;DENG Haihong;SU Hui(Zhaoqing First People's Hospital,Zhaoqing 526000,China)

机构地区：[1]肇庆市第一人民医院,广东肇庆526000

出　　处：《临床医学工程》2021年第7期913-914,共2页Clinical Medicine & Engineering

摘　　要：目的研究神经阻滞联合气管插管全麻在老年髋部手术中的临床效果。方法选取2019年1月至2020年6月我院收治的老年髋部手术患者56例,以抽签法分为两组各28例。B组实施气管插管全麻,A组实施神经阻滞联合气管插管全麻。对比两组的麻醉效果。结果A组术后躁动发生率低于B组(P<0.05)。T0时,两组的HR、MAP水平比较无统计学差异(P>0.05);T1、T2、T3时,A组的HR、MAP水平低于B组(P<0.05)。A组术后2 h、4 h、8 h、12 h的NRS评分低于B组(P<0.05)。结论神经阻滞联合气管插管全麻可稳定老年髋部手术患者的HR、MAP,降低术后躁动发生率,麻醉效果较好,值得推广。Objective To study the clinical effect of nerve block combined with tracheal intubation general anesthesia in elderly hip surgery.Methods 56 elderly patients with hip surgery in our hospital from January 2019 to June 2020 were selected and divided into two groups by drawing lots,with 28 cases in each group.Group B was given tracheal intubation general anesthesia,and group A was given nerve block combined with tracheal intubation general anesthesia.The anesthetic effect was compared between the two groups.Results The incidence of postoperative restlessness in group A was lower than that in group B(P<0.05).At T0,no statistical difference was found in the HR and MAP levels between the two groups(P>0.05).At T1,T2 and T3,the HR and MAP levels of group A were lower than those of group B(P<0.05).The NRS scores at 2 hours,4 hours,8 hours and 12 hours after surgery of group A were lower than those of group B(P<0.05).Conclusions Nerve block combined with endotracheal intubation general anesthesia can stabilize the HR and MAP in elderly patients with hip surgery,and reduce the incidence of postoperative restlessness,with better analgesic effect,which is worthy of promotion.

关 键 词：髋部手术 老年患者 神经阻滞 气管插管全麻 

分 类 号：R614[医药卫生—麻醉学]