腰硬联合麻醉与全麻用于老年股骨颈骨折手术的预后效果对比  

Comparison of prognostic effects of combined spinal-epidural anesthesia and general anesthesia for elderly femoral neck fracture surgery China

作　　者：李志民 LI Zhi-min(Chaoyang County Central Hospital,Chaoyang 122000,China)

机构地区：[1]朝阳县中心医院,122000

出　　处：《中国实用医药》2022年第5期45-47,共3页China Practical Medicine

摘　　要：目的 探究全身麻醉(全麻)和腰硬联合麻醉用于股骨颈骨折手术的临床效果。方法 90例股骨颈骨折手术患者,随机分为对照组和实验组,各45例。对照组给予气管插管全麻,实验组给予腰硬联合麻醉。对比两组麻醉用药剂量、见效时长、麻醉效果、疼痛程度、不良反应发生率、手术前后血液动力学变化。结果 实验组麻醉用药剂量(16.2±3.5)mg少于对照组的(140.3±22.6)mg,见效时长(48.3±15.3)s短于对照组的(245.2±35.6)s,麻醉优良率95.56%(43/45)高于对照组的77.78%(35/45),差异均有统计学意义(P<0.05)。实验组疼痛程度优于对照组,恶心发生率低于对照组,差异有统计学意义(P<0.05)。术后,两组心率(HR)对比差异无统计学意义(P<0.05),实验组舒张压(DBP)、收缩压(SBP)均高于对照组,差异有统计学意义(P<0.05)。结论 对股骨颈骨折手术患者应用腰硬联合麻醉,效果显著,可以促使血液动力学平稳,降低不良反应发生率,应在临床中多加推广。Objective To investigate the clinical effects of combined spinal-epidural anesthesia and general anesthesia for elderly femoral neck fracture surgery.Methods A total of 90 patients with femoral neck fracture surgery were randomly divided into control group and experimental group,with 45 cases in each group.The control group received general anesthesia with tracheal intubation,and the experimental group received combined spinal-epidural anesthesia.Both groups were compared in terms of anesthesia dosage,effective time,anesthesia effect,pain degree,incidence of adverse reactions,hemodynamic changes before and after surgery.Results The anesthesia dosage(16.2±3.5)mg of the experimental group was less than(140.3±22.6)mg of the control group;the effective time(48.3±15.3)s of the experimental group was shorter than(245.2±35.6)s of the control group;the excellent and good rate of anesthesia 95.56%(43/45)of the experimental group was higher than 77.78%(35/45)of the control group;all the differences were statistically significant(P<0.05).The pain degree of the experimental group was better than that of the control group,and the incidence of nausea was lower than that of the control group.All the differences were statistically significant(P<0.05).After surgery,there was no statistically significant difference in heart rate(HR)between the two groups(P<0.05).The diastolic blood pressure(DBP)and systolic blood pressure(SBP)of the experimental group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of combined spinal-epidural anesthesia in patients with femoral neck fracture surgery can achieve significant effect,promote hemodynamic stability and reduce the incidence of adverse reactions,which should be promoted in clinical practice.

关 键 词：全身麻醉 腰硬联合麻醉 股骨颈骨折手术 

分 类 号：R614[医药卫生—麻醉学]