老年股骨颈骨折手术腰硬联合麻醉与全麻的效果对比

Comparison of the effects of combined spinal epidural anesthesia and general anesthesia in elderly patients with femoral neck fracture

目的比较老年股骨颈骨折手术采用腰硬联合麻醉与全麻的临床疗效。方法选取我院股骨颈骨折老年患者60例,随机分为研究组与对照组,各30例。研究组患者给予腰硬联合麻醉,对照组患者给予全身麻醉。比较两组患者临床镇痛效果、麻药起效时间、术后意识恢复时间与清醒时间、术后出血量与不良反应发生情况。结果研究组患者与对照组患者镇痛效果的合格率分别为93.33%、83.33%,差异显著(P<0.05);研究组患者的麻药起效时间、术后意识恢复时间、清醒时间及术后出血量明显优于对照组,差异显著(P<0.05);研究组与对照组患者术后总不良反应发生率分别为6.67%、16.67%,差异显著(P<0.05)。结论在老年股骨颈骨折手术中,采用腰硬联合麻醉的临床疗效明显优于全麻,临床疗效确定,且不良反应较少。

Objective To compare the effects of combined spinal epidural anesthesia and general anesthesia in elderly patients with femoral neck fracture. Methods Sixty cases of patients with femoral neck fracture disease in our hospital were selected and randomly divided into study group and control group, with 30 cases in each group. The study group was given spinal epidural anesthesia, and the control group received general anesthesia. The clinical analgesic effect, the anesthetic onset time, consciousness recovery time, recovery time, postoperative bleeding volume and adverse reactions between the two groups were compared. Results The eligible rate of analgesic effect of the study group and the control group were 93.33% and 83.33% respectively, and the difference was statistically significant （P〈0.05）; the anesthetic onset time, postoperative consciousness recovery time, recovery time and postoperative bleeding volume of the study group were better than those of the control group, the differences were statistically significant （P〈0.05）. The total adverse reaction rates of the study group and the control group were 6.67% and 16.67% respectively, and the difference was statistically significant （P〈 0.05）. Conclusion For elderly patients with femoral neck fracture, the clinical efficacy of combined spinal epidural anesthesia is better than general anesthesia, which has obvious clinical efficacy and less adverse reactions.