腰硬联合麻醉与全身麻醉用于老年患者股骨颈骨折手术的效果对比

Comparison of Combined Spinal-epidural Anesthesia and General Anesthesia in Treatment of Femoral Neck Fracture in Elderly Patients

目的比较腰硬联合麻醉及全麻对老年患者股骨颈骨折手术的麻醉效果。方法选取本院收治的118例股骨颈骨折老年患者,随机分为全麻组与腰硬联合麻醉组(联麻组),各59例。全麻组行全身麻醉,联麻组行腰硬联合麻醉,比较两组临床麻醉效果。结果联麻组术中生理指标及术后不良反应发生率显著优于全麻组(P <0.05);联麻组麻醉起效时间短于全麻组(P <0.05),且镇痛效果更优(P <0.05)。结论腰硬联合麻醉相比全身麻醉,拥有起效时间短、镇痛效果好等优势,并能减少不良反应发生,临床效果显著。

Objective To compare the anesthetic effect of combined lumbar anesthesia and general anesthesia for femoral neck fracture in elderly patients. Methods A total of 118 elderly patients with femoral neck fracture treated in our hospital were selected and randomly divided into general anesthesia group and combined anesthesia group,with 59 cases each. General anesthesia was used in the general anesthesia group and combined lumbar anesthesia was used in the combined anesthesia group. Clinical anesthesia effects between two groups was compared. Results The physiological indexes and the incidence of postoperative adverse reactions in the combined anesthesia group were significantly higher than that in the general anesthesia group(P<0.05). The onset time of anesthesia in the combined anesthesia group was shorter than that in the overall group and the analgesic effect was better(P<0.05). Conclusion Compared with general anesthesia,combined lumbar anesthesia has the advantages of short effective time and good analgesic effect with fewer adverse events.