[1]王正毅.腰硬联合阻滞麻醉对老年人下肢骨折手术的效果[J].医学信息,2021,34(21):134-136.[doi:10.3969/j.issn.1006-1959.2021.21.037]
　WANG Zheng-yi.Effect of Combined Spinal-epidural Anesthesia on Lower Limb Fracture in the Elderly[J].Medical Information,2021,34(21):134-136.[doi:10.3969/j.issn.1006-1959.2021.21.037]
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腰硬联合阻滞麻醉对老年人下肢骨折手术的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年21期
页码:
134-136
栏目:
临床研究
出版日期:
2021-11-01

文章信息/Info

Title:
Effect of Combined Spinal-epidural Anesthesia on Lower Limb Fracture in the Elderly
文章编号:
1006-1959（2021）21-0134-03
作者:
王正毅
（泗洪县分金亭医院麻醉科，江苏 泗洪 223900）
Author(s):
WANG Zheng-yi
(Department of Anesthesiology,Sihong County Fenjinting Hospital,Sihong 223900,Jiangsu,China)
关键词:
下肢骨折; 麻醉效果; 腰硬联合阻滞麻醉
Keywords:
Lower limb fracture; Anesthesia effect; Combined spinal-epidural anesthesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2021.21.037
文献标志码:
A
摘要:
目的 研究腰硬联合阻滞麻醉对老年人下肢骨折手术的麻醉效果。方法 选择2019年10月-2020年5月我院接受手术治疗的下肢骨折老年患者62例，根据麻醉方式的不同分为常规组和联合组，每组31例。常规组实施硬膜外连续麻醉，联合组实施腰硬联合阻滞麻醉，比较两组麻醉效果、生命体征、疼痛程度、麻醉情况及不良反应发生情况。结果 联合组麻醉总有效率为96.77%，高于常规组的83.87%，差异有统计学意义（P＜0.05）；联合组麻醉后15 min及30 min HR、SBP、DBP水平高于常规组，差异有统计学意义（P＜0.05）；联合组术后第1、2、3天VAS评分低于常规组，差异有统计学意义（P＜0.05）；联合组感觉及运动阻滞起效时间、术后镇痛持续时间及意识恢复时间短于常规组，差异有统计学意义（P＜0.05）；联合组不良反应总发生率为6.45%，低于常规组的29.03%，差异有统计学意义（P＜0.05）。结论 对老年人下肢骨折患者实施手术期间，使用腰硬联合阻滞麻醉的麻醉效果理想，可减轻机体应激反应，维持正常的生命体征，缩短术后镇痛持续时间，且麻醉期间不良反应发生率低。
Abstract:
Objective To study the anesthetic effect of combined spinal-epidural anesthesia on elderly patients with lower limb fracture surgery.Methods A total of 62 elderly patients with lower limb fractures treated in our hospital from October 2019 to May 2020 were selected and divided into routine group and combined group according to different anesthesia methods, with 31 cases in each group. The routine group was given epidural continuous anesthesia, and the combined group was given combined spinal epidural block anesthesia. The anesthetic effect, vital signs, pain degree, anesthesia and adverse reactions were compared between the two groups.Results The total effective rate of anesthesia in the combined group was 96.77%, which was higher than 83.87% in the conventional group, and the difference was statistically significant (P<0.05). HR, SBP and DBP levels at 15 min and 30 min after anesthesia in the combined group were higher than those in the conventional group, and the difference was statistically significant (P<0.05). The VAS scores of the combined group on the first, second and third days after operation were lower than those of the conventional group, and the difference was statistically significant (P<0.05). The onset time of sensory and motor block, duration of postoperative analgesia and recovery time of consciousness in the combined group were shorter than those in the conventional group, and the difference was statistically significant (P<0.05). The total incidence of adverse reactions in the combined group was 6.45%, which was lower than 29.03% in the conventional group, and the difference was statistically significant (P<0.05).Conclusion During the operation of elderly patients with lower limb fractures, the anesthesia effect of combined spinal epidural block anesthesia is ideal, which can reduce the body stress response, maintain normal vital signs, shorten the dosage of anesthetic drugs and analgesic time, and the incidence of adverse reactions during anesthesia is low.

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更新日期/Last Update: 1900-01-01