全身麻醉和硬膜外麻醉对老年骨科患者的应用效果分析

Analysis of Application Effect of General Anesthesia and Epidural Anesthesia in Senile Patients in the Department of Orthopedics

目的对比分析全身麻醉和硬膜外麻醉对老年骨科患者的应用效果。方法方便选取该院2014年1月—2016年12月期间收治的110例老年骨折并行手术治疗的患者为研究对象。随机分成两组,每组55例。对照组采用全身麻醉的方式,观察组采用硬膜外麻醉的方式。对比两组患者的手术指标与术后短期认知功能评分。结果两组患者在术中出血量、麻醉时间以及术中低血压的发生情况方面,差异无统计学意义(P>0.05);观察组患者术后12、24、72 h的认知功能评分分别为(25.62±0.57)分、(27.72±0.43)分、(29.02±0.45)分,对照组患者分别为(25.13±0.45)分、(26.03±0.35)分分、(28.23±0.50)分,组间差异有统计学意义(P<0.05);术后96 h,两组患者认知功能评分[(29.35±0.57)分vs(29.13±0.74)]分,差异无统计学意义(P>0.05)。结论与全身麻醉麻醉相比,硬膜外麻醉术后患者的认知功能恢复更好,临床应用价值更高。

Objective To compare and analyze the application effect of general anesthesia and epidural anesthesia in senile patients in the department of orthopedics. Methods 110 cases of senile patients with fractures and surgery admitted and treated in our hospital from January 2014 to December 2016 were convenient selected and randomly divided into two groups with 55 cases in each, the control group and the observation group were treated with general anesthesia and epidural anesthesia, and the operation index and short-term cognitive function scores were compared between the two groups. Results The differences in the intraoperative bleeding amount, anesthesia time and intraoperative hypotension between the two groups were not statistically significant（P〉0.05）, and the cognitive scores in the observation group at 12 h, 24 h and 72 h after surgery were respectively（25.62±0.57）points,（27.72±0.43）points,（29.02±0.45）points and（25.13±0.45）points,（26.03±0.35）points and（28.23±0.50）points in the control group, and the differences were statistically significant（P〈0.05）, and the difference in the cognitive function score at 96 h after surgery was not obvious[（29.35±0.57）points vs（29.13±0.74）points]（P〉0.05）. Conclusion The cognitive function recovery of patients with epidural anesthesia is better than that of patients with general anesthesia, and the clinical application value is higher.