腰硬联合麻醉复合髋关节囊周围神经阻滞在老年髋部骨折患者中的应用效果  

Application of Peripheral Nerve Block in Elderly Patients with Hip Fracture

作　　者：马丽[1] 赵贺成 朱田球 古丽巴哈尔 MA Li;ZHAO Hecheng;ZHU Tianqiu;Gulibaha'er(Red Star Hospital of the Thirteenth Division of Xinjiang Production and Construction Corps,Hami 839000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆生产建设兵团第十三师红星医院,新疆维吾尔自治区哈密839000

出　　处：《系统医学》2024年第15期52-54,58,共4页Systems Medicine

摘　　要：目的分析老年髋部骨折患者联合腰硬复合麻醉、髋关节囊周围神经阻滞的作用。方法非随机选取2021年1月—2023年1月新疆生产建设兵团第十三师红星医院收治的120例老年髋部骨折患者为研究对象,均予以外科手术治疗,按照不同麻醉方式分为两组,各60例。对照组采取腰硬联合麻醉,观察组采取腰硬联合麻醉复合髋关节囊周围神经阻滞,比较两组患者应用效果。结果观察组术后中枢神经特异蛋白、β-淀粉样蛋白1-40水平分别为(94.28±13.23)mg/L、(6.52±0.94)mg/L,均较对照组的(130.54±23.89)mg/L、(9.81±1.55)mg/L低,差异有统计学意义(t=9.044、7.837,P均<0.05);观察组术后2、4、6、12 h的VAS评分较对照组低,差异有统计学意义(P均<0.05)。结论联合腰硬复合麻醉、髋关节囊周围神经阻滞用于老年髋部骨折患者,能够减轻患者术后疼痛,并降低术后中枢神经系统的损伤。Objective To analyze the effect of combined lumbar composite anesthesia and peripheral nerve block in elderly patients with hip fracture.Methods A total of one hundred and twenty elderly patients with hip fracture admit-ted to the Red Star Hospital of the 13th Division of Xinjiang Production and Construction Corps from January 2021 to January 2023 were non-randomly selected as the study objects,all of whom were treated by surgical operation and di-vided into two groups with sixty cases each according to different anesthesia methods.The control group was given combined epidural anesthesia and the observation group was given combined epidural anesthesia combined with pe-ripheral hip capsule nerve block.The application effect of the two groups was compared.Results The levels of S100 andβ-amyloid 1-40 in the observation group were(94.28±13.23)mg/L and(6.52±0.94)mg/L,respectively,which were lower than those in the control group(130.54±23.89)mg/L and(9.81±1.55)mg/L,respectively,the differences were statistically significant(t=9.044,7.837,both P<0.05).VAS scores of the observation group at 2,4,6 and 12 h af-ter surgery were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Combined with lumbohard anesthesia and peripheral hip capsule nerve block for elderly patients with hip fracture,it can reduce postoperative pain and reduce the damage of the central nervous system.

关 键 词：腰硬联合麻醉 髋关节囊周围神经阻滞 老年髋部骨折 应用效果 

分 类 号：R614[医药卫生—麻醉学]