全麻联合腰丛-坐骨神经阻滞在老年髋关节置换术中的应用效果

Application effect of general anesthesia combined with lumbar plexus-sciatic nerve block in elderly hip replacement

目的观察全麻联合腰丛-坐骨神经阻滞在老年髋关节置换术中的临床疗效。方法将70例老年髋关节置换术患者随机分成试验组和对照组,对照组采用气管插管静脉全麻,而试验组采用全麻联合腰丛-坐骨神经阻滞,比较两组术中麻醉药用量及拔管前后生命体征变化。结果试验组患者的麻醉药物丙泊酚、芬太尼、维库溴铵、瑞芬太尼少于对照组(P<0.05);试验组苏醒及拔管时间缩短,疼痛、躁动发生率减少(P<0.05);试验组生命体征较对照组更为稳定(P<0.05)。结论全麻联合腰丛-坐骨神经阻滞用于老年髋关节置换手术,用药少,能更好地维持患者的症状。

Objective To observe the clinical effect of general anesthesia combined with lumbar plexus-sciatic nerve block in elderly hip replacement. Methods A total of 70 elderly patients with hip replacement were randomly divided into the experimental group and the control group. The control group was given tracheal intubation intravenous anes- thesia, while the experimental group was given general anesthesia combined with lumbar plexus-sciatic nerve block. The intraoperative anesthetic dosage and changes in vital signs before and after extubation between two groups were compared. Results The propofol, fentanyl, vecuronium and remifentanil were less in the experimental group than the control group （P〈0.05）; the revival and extubation time in the experimental group were shorter, and the incidence rates of pain and agitation were reduced （P〈0.05）; the vital signs in the experimental group were more stable than that in the control group（P〈0.05）. Conclusion General anesthesia combined with lumbar plexus-sciatic nerve block method for el- derly patients with hip replacement has less medication, which can better maintain the symptoms of patients.