超声引导下神经阻滞麻醉联合全身麻醉在老年骨科手术中的应用效果分析  

Application Effect Analysis of Ultrasound-Guided Nerve Block Anesthesia Combined with General Anesthesia in Elderly Orthopedic Surgery

作　　者：李钟哲[1] 张新峰[1] Li Zhongzhe;Zhang Xinfeng(Department of Anesthesiology,First Division Hospital of Xinjiang Production and Construction Corps,Akesu 843000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆生产建设兵团第一师医院麻醉科,新疆维吾尔自治区阿克苏843000

出　　处：《中国社区医师》2023年第27期65-67,共3页Chinese Community Doctors

摘　　要：目的:分析超声引导下神经阻滞麻醉联合全身麻醉在老年骨科手术中的应用效果。方法:选取2020年1月—2022年1月于新疆生产建设兵团第一师医院行骨科手术的100例老年患者作为研究对象,根据随机数字表法分为对照组与观察组,各50例。对照组采用全身麻醉,观察组在对照组基础上采用超声引导下神经阻滞麻醉。比较两组麻醉起效时间、并发症发生情况、动脉血氧含量、精神状态。结果:观察组麻醉起效时间短于对照组,差异有统计学意义(P<0.001)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.001)。术前,两组动脉血氧含量比较,差异无统计学意义(P>0.05);术后30 min、1 h,观察组动脉血氧含量高于对照组,差异有统计学意义(P<0.001)。术前,两组简易智力状态检查量表评分比较,差异无统计学意义(P>0.05);术后12 h、24 h,观察组简易智力状态检查量表评分高于对照组,差异有统计学意义(P<0.001)。结论:超声引导下神经阻滞麻醉联合全身麻醉在老年骨科手术中的应用效果显著,能够缩短麻醉起效时间,降低并发症发生率,促进患者术后动脉血氧含量、认知功能恢复,值得临床应用。Objective:To analyze the application effect of ultrasound-guided nerve block anesthesia combined with general anesthesia in elderly orthopedic surgery.Methods:A total 100 elderly patients who underwent orthopedic surgery at the First Division Hospital of Xinjiang Production and Construction Corps from January 2020 to January 2022 were selected as the study subjects.According to the random number table method,they were divided into a control group and an observation group,with 50 cases in each group.The control group received general anesthesia.The observation group received ultrasound-guided nerve block anesthesia on basis of control group.The onset time of anesthesia,the occurrence of complications,the arterial blood oxygen content and the mental status were compared between the two groups.Results:The onset time of anesthesia in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.001).Before operation,there was no significant difference in arterial blood oxygen content between the two groups(P>0.05).At 30 min and 1 h after surgery,the arterial blood oxygen content in the observation group was higher than that in the control group,with a statistically significant difference(P<0.001).Before operation,there was no significant difference in the Mini-Mental State Examination scores between the two groups(P>0.05).At 12 h and 24 h after surgery,the Mini-Mental State Examination scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.001).Conclusion:The application of ultrasound-guided nerve block anesthesia combined with general anesthesia in elderly orthopedic surgery has remarkable effects,which can shorten the onset time of anesthesia,reduce the incidence of complications,promote postoperative arterial blood oxygen content and cogni

关 键 词：超声 神经阻滞麻醉 认知功能 老年 骨科手术 

分 类 号：R614[医药卫生—麻醉学]