老年下肢骨折手术患者采用全麻与外周神经阻滞麻醉的效果观察

Observation of Effect of General Anesthesia and Peripheral Nerve Block Anesthesia in Elderly Patients With Lower Limb Fracture

目的观察老年下肢骨折手术患者采用全麻与外周神经阻滞麻醉的效果。方法选取我院收治的老年下肢骨折手术患者80例,将其分为A组与B组各40例,A组采用全麻,B组采用外周神经阻滞麻醉,对比其麻醉效果。结果 B组患者术中的心率、收缩压与舒张压最大变化率明显低于A组,组间比较,P<0.05,差异具有统计学意义;A组患者的术后机能恢复达标率为80.0%,B组为97.5%,B组高于A组,组间比较,P<0.05,差异具有统计学意义。结论老年下肢骨折手术患者采用外周神经阻滞麻醉的效果优于采用全麻,安全性高。

Objective To observe the effect of general anesthesia and peripheral nerve block anesthesia in elderly patients with lower limb fracture. Methods 80 cases of elderly patients with lower limb fracture were selected and divided into, A group and B group, each group had 40 cases, A group received general anesthesia, and B group received peripheral nerve block anesthesia, and compared the effect of anesthesia. Results The maximum change rate of heart rate, systolic blood pressure and diastolicblood pressure in B group was significantly lower than that in group A, P〈0.05, the difference was statistically significant; The compliance rate of postoperative functional recovery in group A was 80%, 97.5% in group B, and group B higher than group A, P〈0.05, the difference was statistically significant. Conclusion The effect of peripheral nerve block anesthesia in elderly patients with lower limb fracture is better than that of general anesthesia, and the safety is high.