椎管内麻醉不同给药方式在老年下肢骨折手术中的应用效果观察  

Observation of Application Effect of Different Administration Methods of Intrathecal Anesthesia in Surgery of Elderly Lower Limb Fracture

作　　者：何煜 He Yu(Changsha Nanya Hospital,Ningxiang 410600,Hunan Province,China)

机构地区：[1]长沙南雅医院,湖南宁乡410600

出　　处：《中外医药研究》2023年第35期60-62,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析椎管内麻醉不同给药方式在老年下肢骨科手术中的应用效果。方法:选取2019年1月—2023年1月长沙南雅医院收治的老年下肢骨科手术患者100例为研究对象,按照随机数字表法分为对照组和研究组,各50例。对照组行连续硬膜外阻滞,研究组采用针内套针法穿刺行腰硬联合阻滞方案。比较两组患者满意度,治疗依从性,心理状态,麻醉药物用量、起效时间、效果。结果:研究组满意度高于对照组,差异有统计学意义(P<0.001);研究组治疗依从率高于对照组,差异有统计学意义(P<0.001);干预后,两组患者焦虑、抑郁评分均降低,研究组低于对照组,差异有统计学意义(P<0.05);研究组麻醉药物用量低于对照组,麻醉起效时间短于对照组,麻醉效果优良率高于对照组,差异有统计学意义(P<0.05)。结论:采用针内套针法穿刺行腰硬联合阻滞方案有利于减轻患者疼痛感,可提高患者满意度和依从性,麻醉效果优良,麻醉起效时间短,可减少麻醉药物用量,改善患者心理状态。Objective:To analyze the application effect of different administration methods of intrathecal anesthesia in the orthopedic surgery of elderly lower limb.Methods:A total of 100 elderly patients undergoing lower limb orthopedic surgeries admitted to Changsha Nanya Hospital from January 2019 to January 2023 were selected as the study subjects.They were divided into a control group and a study group according to random number table method,with 50 cases in each group.The control group adopted continuous epidural blockage,and the study group adopted the combined spinal-epidural blockage using Trocar needle puncture method.The patient's satisfaction,treatment compliance,psychological state,anesthetic drug dosage,onset time and effect in two groups were compared.Results:The satisfaction in the study group was higher than that in the control group,and the difference was statistically significant(P<0.001);The treatment compliance rate in the study group was higher than that in the control group,and the difference was statistically significant(P<0.001);After the intervention,the anxiety and depression scores in the two groups were reduced,and the scores in the study group were lower than those in the control group,with a statistically significant difference(P<0.05);The dosage of anesthetic drugs in the study group was lower than that in the control group,the onset time of anesthesia in the study group was shorter than that in the control group,and the excellent rate of anesthesia effect in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The combined spinal-epidural blockage regimen using Trocar needle puncture method is beneficial to reduce patients'pain,improve patient's satisfaction and compliance,has excellent anesthesia effect and short anesthesia onset time,reduces the dosage of anesthetic drugs,and improves patients'psychological state.

关 键 词：椎管内麻醉 不同给药 老年下肢手术 

分 类 号：R47[医药卫生—护理学]