周围神经阻滞麻醉与全身麻醉对老年患者半髋关节置换手术结局的影响

Effect of Peripheral Nerve Block Anesthesia and General Anesthesia on the Outcome of Hemiarthroplasty in Elderly Patients

目的探究分析周围神经阻滞麻醉与全身麻醉对老年患者半髋关节置换手术结局的影响。方法选取我院2017年3月至2018年3月收治46例半髋关节骨折老年患者,采用随机数表法分为对照组和观察组,各23例。对照组实行全身麻醉,观察组实行周围神经阻滞麻醉。观察两组患者术中血流动力学变化及简易精神状态量表(MMES)评分。结果术后对照组患者DBP、SBP、HR最大变化率明显大于观察组,且对照组患者MMES评分显著低于观察组,P<0.05,数据差异具有统计学意义。结论麻醉科采用周围神经阻滞麻醉对患者术后认知功能影响较小。

Objective To explore and analyze the influence of peripheral nerve block anesthesia and general anesthesia on the outcome of hemi-hip replacement surgery in elderly patients. Methods From March 2017 to March 2018, 46 elderly patients with hemiarthrosis fracture were selected and divided into control group and observation group by random number table method, 23 cases in each group. The control group was given general anesthesia and the observation group was given peripheral nerve block anesthesia. Hemodynamic changes and MMES scores were observed in two groups. Results The maximum change rates of DBP, SBP and HR in the control group were significantly higher than those in the observation group, and the MMES scores in the control group were significantly lower than those in the observation group, P< 0.05, the difference of data has statistical significance. Conclusion Peripheral nerve block anesthesia has little effect on postoperative cognitive function in anesthesiology department.