不同麻醉方式对老年髋关节置换术的麻醉效果

Anesthetic Effect of Different Anesthetic Methods on Elderly Hip Arthroplasty

目的分析不同麻醉方式对老年髋关节置换术患者麻醉效果、镇痛及术后认知功能的影响。方法选取2016年1月—2018年3月在本院接受手术的老年髋关节置换术患者96例作为研究对象。采用单双号抽取方式,将其分为对照组(n=48)与观察组(n=48)。对照组应用全身麻醉,观察组则使用硬膜外复合全身麻醉,对比两组患者的手术中舒张压(SBP)、心率(HR)、收缩压(DBP)水平。结果两组在术前SBP、HR、DBP对比,差异无统计学意义(P> 0.05);麻醉结束后,观察组患者的SBP、HR、DBP各项指标均低于对照组,差异具有统计学意义(P <0.05)。结论老年髋关节置换术患者采用硬膜外复合全身麻醉的方式,与单纯进行全身麻醉进行比较,整体的麻醉效果更加理想,可全面提升麻醉镇痛效果,保证术后患者认知功能,维持较为理想的麻醉效果,提升手术质量。

Objective To analyze the effects of different anesthesia methods on anesthesia, analgesia and cognitive function in elderly patients undergoing hip replacement. Methods From January 2016 to March 2018, 96 elderly patients with hip arthroplasty who underwent surgery in our hospital were selected as the subjects of study. Single and double numbers were selected and divided into control group (n=48) and observation group (n=48). The control group was given general anesthesia. The observation group was given epidural combined general anesthesia. The levels of diastolic blood pressure (SBP), heart rate (HR) and systolic blood pressure (DBP) were compared between the two groups. Results There was no significant difference in SBP, HR and DBP between the two groups before operation (P > 0.05). After anesthesia, the indexes of SBP, HR and DBP in the observation group were lower than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion Compared with general anesthesia alone, the general anesthesia effect of elderly hip replacement patients is more ideal. It can improve the analgesic effect of anesthesia, ensure the cognitive function of patients after operation, maintain the ideal anesthetic effect and improve the quality of operation. The patient's cognitive function maintains an ideal anesthetic effect and improves the quality of surgery.