B超引导下腰丛复合坐骨神经阻滞麻醉对老年股骨粗隆间骨折患者麻醉效果与免疫功能的影响研究

Exploration of the effect of B-ultrasound guided lumbar plexus combined with sciatic nerve block anesthesia on the anesthetic effect and immune function in elderly patients with intertrochanteric fractures of the femur

目的:研究B超引导下腰丛复合坐骨神经阻滞麻醉对老年股骨粗隆间骨折患者的麻醉效果及对免疫功能的影响。方法:2018年5月-2019年10月收治老年股骨粗隆间骨折患者108例,随机分为两组,各54例。对照组采用蛛网膜下腔阻滞麻醉联合硬膜外麻醉;观察组采用B超引导下腰丛复合坐骨神经阻滞麻醉。比较两组麻醉效果。结果:观察组神经阻滞起效时间、神经阻滞维持时间、疼痛评分及免疫功能均优于对照组,差异有统计学意义(P<0.05)。结论:老年股骨粗隆间骨折患者麻醉过程中,开展B超引导下腰丛复合坐骨神经阻滞麻醉,可更好保证麻醉效果。

Objective:To study the effect of B-ultrasourd-guided lumbar plexus combined with sciatic nerve block anesthesia on the anesthetic effect and immune function in elderly patients with intertrochanteric fractures of the femur.Methods:From May2018 to October 2019,108 elderly patients with intertrochanteric fractures of the femur were selected and they were randomly divided into two groups with 54 patients in each group.Subarachnoid block anesthesia combined with epidural anesthesia was used in the control group.The observation group was anesthetized by B-ultrasound guided lumbar plexus combined with sciatic nerve block.The anesthetic effect between the two groups was compared.Results:The onset time of nerve block,maintenance time of nerve block,pain score and immune function of the observation group were significantly better than the control group,with the differences were statistically significant(P<0.05).Conclusion:B-ultrasound guided lumbar plexus combined with sciatic nerve block anesthesia can better ensure the anesthetic effect in the course of anesthesia in elderly patients with intertrochanteric fractures of the femur.