腰-硬联合麻醉在老年糖尿病患者下肢血管病变手术中的效果与安全性观察

Observation on the Effect and Safety of Combined Lumbar-epidural Anesthesia in Senile Diabetic Patients with Lower Limb Vascular Disease

目的探究在老年糖尿病患者下肢血管病变手术中应用腰-硬联合麻醉的效果及安全性。方法随机将2018年2月—2019年2月该院202例老年糖尿病患者(均实施下肢血管病变手术)分为对照组(101例,应用全身麻醉)、实验组(101例,应用腰-硬联合麻醉)。对比两组患者麻醉起效时间、定向力恢复时间、认知功能评分及不良反应发生率。结果实验组麻醉起效时间、定向力恢复时间均较对照组更短(P<0.05);实验组术后6 h、术后12 h、术后24 h认知功能评分较对照组更高(P<0.05);实验组不良反应发生率(3.96%)低于对照组(15.84%)(P<0.05)。结论在老年糖尿病患者下肢血管病变手术中应用腰-硬联合麻醉的效果更佳,且安全性更高。

Objective To explore the effect and safety of combined lumbar-epidural anesthesia in the operation of lower limb vascular disease in elderly diabetic patients. Methods From February 2018 to February 2019, 202 elderly diabetic patients in the hospital(all underwent lower extremity vascular disease surgery) were randomly divided into control group(101 cases, application of general anesthesia), experimental group(101 cases, application of lumbar-hard combined anesthesia). The anesthesia onset time, orientation recovery time, cognitive function score and incidence of adverse reactions were compared between the two groups. Results The onset time of anesthesia and the recovery time of orientation in the experimental group were shorter than those in the control group(P<0.05);the cognitive function scores of the experimental group at 6 h, 12 h, and 24 h after surgery were higher than those of the control group(P<0.05);the incidence of adverse reactions in the experimental group(3.96%) was lower than that in the control group(15.84%)(P<0.05). Conclusion The effect of combined spinal-epidural anesthesia in the operation of lower extremity vascular disease in elderly diabetic patients is better and safer.