LPB联合全麻方式用于高龄股骨粗隆骨折手术患者的安全性及对血流动力学、麻醉药物用量的影响  

Safety of LPB combined with general anesthesia in elderly patients undergoing operation for trochanteric fracture of femur and its influence on hemodynamics and narcotic drug dosage

作　　者：雷青 Lei Qing(The 922nd Hospital of the PLA Joint Logistic Support Force,Hengyang,Hunan 421000,China)

机构地区：[1]中国人民解放军联勤保障部队第922医院,湖南衡阳421000

出　　处：《首都食品与医药》2025年第9期25-27,共3页Capital Food Medicine

摘　　要：目的 探究腰骶丛神经阻滞(LPB)联合全麻方式用于高龄股骨粗隆骨折手术患者的安全性及对血流动力学、麻醉药物用量的影响。方法 选取我院收治的118例高龄股骨粗隆骨折手术患者为研究对象,以随机数表法分为A、B两组,每组各59例,分别实施全麻、LPB联合全麻,比较两组麻醉效果及安全性。结果 B组麻醉不良反应发生率较A组低(P<0.05);B组气管插管时、切皮时、缝皮时平均动脉压(MAP)、心率(HP)均较A组低(P<0.05);B组舒芬太尼用量较A组少(P<0.05)。结论 对高龄股骨粗隆骨折手术患者实施LPB联合全麻,可提升麻醉安全性,维持血流动力学稳定性,减少麻醉药物用量。Objective To explore the safety of lumbosacral plexus block(LPB)combined with general anesthesia in elderly patients undergoing femoral trochanteric surgery and its effects on hemodynamics and narcotic drug dosage.Methods 118 elderly patients with femoral trochanteric fracture from our hospital were selected as the study objects,and were divided into two groups by random number table,59 cases in each group,respectively,and LPB combined with general anesthesia.The anesthetic effect and safety of the two groups were compared.Results The incidence of anesthesia adverse reactions in group B was lower than that in group A(P<0.05).The mean arterial pressure(MAP)and heart rate(HP)in group B were lower than those in group A during endotracheal intubation,incision and suture(P<0.05).The dosage of sufentanil in group B was less than that in group A(P<0.05).Conclusion LPB combined with general anesthesia can improve the safety of anesthesia,maintain the hemodynamic stability of patients and reduce the dosage of anesthesia drugs in elderly patients with trochanteric fracture surgery.

关 键 词：股骨粗隆骨折 高龄 腰骶丛神经阻滞 

分 类 号：R683.42[医药卫生—骨科学]