神经阻滞与轻比重麻醉在高龄患者单侧下肢创伤手术麻醉中的安全性和有效性

Safety and Effect of Nerve Block and Light Weight Anesthesia in Senile with Unilateral Lower Limb Trauma Surgery Anesthesia

目的:探究分析神经阻滞与轻比重麻醉在高龄患者单侧下肢创伤手术麻醉中的安全性和有效性。方法:选取某院高龄单侧下肢创伤手术麻醉患者58例(2015年4月～2016年3月)作为观察对象,进行简单随机分组为两组,对照组患者接受轻比重麻醉,观察组给予患者神经阻滞麻醉,对比两组患者的血压、心率及并发症发生情况等。结果:观察组患者术毕的血压与心率均优于对照组,P<0.05;观察组患者发生低血压的概率明显低于对照组,P<0.05;两组患者发生寒颤、心动过缓及恶心呕吐的概率比较,P>0.05。结论:神经阻滞在高龄患者单侧下肢创伤手术麻醉中效果可观。

Objective To explore the safety and efficiency of nerve block and light weight anesthesia in senile withunilateral lower limb trauma surgery anesthesia. Methods： 58 cases of elderly patients with unilateral lower extremity traumatic anesthesia in a hospital from April 2015 to March 2016 were randomly divided into two groups. The patients in the control group were treated with light weight anesthesia. The patients in observation group were treated with nerve block anesthesia. Two groups of patients with blood pressure, heart rate and complications occurred were compared. Results： The blood pressure and heart rate of the patients in the observation group were better than those in the control group （ P 〈0.05）. The probability of hypotension in the observation group was significantly lower than that in the control group （ P 〈0.05）.Comparisonof the chills, bradycardia and nausea vomiting probability（ P 〉0.05）. Conclusion： The nerve block in the elderly patients with unilateral lower extremity trauma surgery anesthesia effect is considerable, it is worthy of clinical widely promotedin the future.