高龄患者股骨近端重建钉手术的麻醉方法总结

Clinical Anesthesia Methods for Elderly Patients During the Reconstruction of Proximal Femoral Nail

目的为有效对股骨上段骨折老年患者进行手术治疗,减少手术风险,临床探究股骨近端重建钉手术的麻醉选择。方法整群选取该院2014年6月—2016年3月期间收治的96例因股骨上段骨折入院治疗的老年患者,分为3组按入院时间进行分配,每组32例。比较麻醉情况,观察其不良反应情况。结果观察1组清醒时间、完全阻泻时间为(12.4±4.6)min,(18.7±3.7)min比观察2,3组长,用药量为(24.5±7.2)mg低于其他两组。P<0.05;观察3组血压上升、心率过快较其他两组多,谵妄发生少,P<0.05。结论不同麻醉各自具有优缺点,临床再对高龄患者进行股骨近端重建钉手术时。

Objective To effectively cure the elderly patients with proximal femoral fracture, reduce the operation risks and explore the anesthesia methods during the reconstruction of proximal femoral nail. Methods Group selection 96 elderly patients with proximal femoral fracture treated from June 2014 to March 2016 in our hospital were selected. The subjects were divided into three groups according to the admission time of hospital, 32 cases each group. The anesthesia effect and adverse reactions were observed. Results Compared with the other two groups, and the complete resistance time of the Observwtwngrowp（12.4±4.6） min and the antodiarrhea time（18.7±3.7） min was long, and the dosage（24.5 ±7.2） mg was less than that of the other 1 groups. Conclusion The different anesthesia methods have their advantages and disadvantages.During the reconstruction of proximal femoral nail, it is able to choose the proper method according to the elderly patient ＇s condition.