不同全麻插管方法对髋关节置换术患者术后平均动脉压、VAS评分及认知水平的影响  

Based on the effects of 2 different general anesthesia intubation methods on mean arterial pressure,VAS score and cognitive level in hip arthroplasty patients after surgery

作　　者：李钰 高芳[1] 李洋 Li Yu;Gao Fang;Li Yang(Department of Anesthesiology,Bozhou People′s Hospital,Bozhou 236800,China)

机构地区：[1]亳州市人民医院麻醉科,236800

出　　处：《中华保健医学杂志》2023年第5期584-587,共4页Chinese Journal of Health Care and Medicine

基　　金：亳州市人民医院“三新”项目(2022ZDB-06)。

摘　　要：目的探究髋关节置换术患者应用两种不同全麻插管方法对其术后平均动脉压(MAP)、视觉模拟评分(VAS)及认知水平的影响。方法回顾性选取2020年11月~2022年5月亳州市人民医院收治的186例行髋关节置换术的患者,根据麻醉方式的不同分为观察组(喉罩全麻,n=89)和对照组(气管插管全麻,n=97)。对比分析两组患者的MAP、心率(HR)、VAS评分、认知水平、麻醉一般情况以及不良反应的发生情况,评价两种不同全麻插管方法在髋关节置换术中的应用效果。结果观察组患者T1、T2、T3、T4时的MAP及HR均显著优于对照组,差异比较均具有统计学意义(P<0.05)。两组患者不同时间节点的VAS评分比较差异有统计学意义(P<0.05)。观察组术后6、12、24、48、72 h的MMSE评分均优于对照组,差异有统计学意义(P<0.05)。观察组麻醉一般情况以及不良反应总发生率均显著优于对照组,差异比较均具有统计学意义(P<0.05)。结论与气管插管全麻相比,喉罩全麻应用于髋关节置换术中,患者的MAP及HR更稳定,术后疼痛程度更轻,对患者认知水平的影响更小,不良反应发生率也更低,临床应用价值更高。Objective To investigate the effects of applying 2 different general anesthesia intubation method on the postoperative mean arterial pressure(MAP),visual analog score(VAS)scores and cognitive level in hip arthroplasty patients.Methods A retrospective analysis was performed on 186 patients admitted to Bozhou people′s hospital for hip arthroplasty between November 2020 and May 2022,and they were divided into two groups according to the different anesthesia method:the observation group had general anesthesia by laryngeal mask and the control group had general anesthesia by tracheal intubation,corresponding to 89 and 97 patients,respectively.The MAP,heart rate(HR),VAS,cognitive level,general condition of anesthesia and the occurrence of adverse reactions in the two groups were compared and analyzed to evaluate the similarities and differences between the two different general anesthesia intubation method applied in hip arthroplasty.Results The MAP and HR of the observation group at T1,T2,T3,and T4 were significantly better than those of the control group,with statistically significant differences(P<0.05).The VAS scores at different time points were significantly different between the two groups(P<0.05).The MMSE scores at 6,12,24,48,and 72 hours postoperatively were significantly different between the two groups(P<0.05).The general anesthesia conditions and the total incidence of adverse reactions in the observation group were significantly better than those in the control group,with statistically significant differences(P<0.05).Conclusion Compared with tracheal intubation general anesthesia,laryngeal mask general anesthesia in hip arthroplasty provides more stable MAP and HR,less postoperative pain,less impact on patients′cognitive levels,lower incidence of adverse reactions,and higher clinical application value.

关 键 词：髋关节置换术 喉罩全麻 气管插管全麻 认知水平 

分 类 号：R614[医药卫生—麻醉学]