老年髋关节置换术患者在腰硬联合麻醉下配合麻醉护理降低麻醉风险的积极作用

The Positive Effect of Cooperating with Anesthesia Nursing under Combined Spinal-epidural Anesthesia to Reduce the Risk of Anesthesia in Elderly Patients Undergoing Hip Replacement

目的分析在老年髋关节置换术腰硬联合麻醉下配合麻醉护理对降低麻醉风险的积极作用。方法该次研究方便选择2018年4月—2019年4月共130例在该院接受髋关节置换术的老年骨折患者。采取常规护理干预的65例患者作为对照组,采取麻醉护理的65例患者作为观察组。评价两组术后各时段认知功能和髋关节功能;统计并发症、临床指标、护理满意度。结果在术后1 d、3 d、5 d的MMSE评分上,观察组高于对照组,差异有统计学意义(P<0.05)。在出院时、术后1个月以及术后6个月的Harris髋关节功能评分上,观察组高于对照组,差异有统计学意义(P<0.05)。观察组手术时间、术后麻醉苏醒时间以及住院时间均短于对照组,差异有统计学意义(P<0.05)。对比两组患者并发症总发生率,观察组(7.69%)低于对照组(20.00%),差异有统计学意义(χ^(2)=4.127,P=0.042)。在护理总满意率上,观察组(95.38%),高于对照组(81.54%),差异有统计学意义(χ^(2)=6.104,P=0.013)。结论麻醉护理可加快老年髋关节置换术腰硬联合麻醉患者术后苏醒,降低麻醉风险,促进髋关节功能的恢复,满意度较高,值得推广。

Objective To analyze the positive effect of cooperating with anesthesia nursing under combined spinal-epidural anesthesia for hip replacement in the elderly to reduce the risk of anesthesia.Methods A total of 130 elderly patients with fractures who underwent hip replacement at the hospital from April 2018 to April 2019 were convenient selected for this study.65 patients who received conventional nursing intervention were taken as the control group,and 65 patients who received anesthesia nursing were taken as the observation group.The cognitive function and hip joint function of the two groups were evaluated.Complications,clinical indicators and nursing satisfaction were counted.Results The MMSE scores of 1 d,3 d and 5 d after surgery in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).The Harris hip function score at discharge,1 month after surgery and 6 months after surgery was higher in the observation group than in the control group,and the difference was statistically significant(P<0.05).The operation time,postoperative anesthesia recovery time and hospitalization time in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05).Comparison of the total incidence of complications between the two groups showed that 7.69%in the observation group was lower than 20.00%in the control group,and the difference was statistically significant(χ^(2)=4.127,P=0.042).In terms of the total satisfaction rate of nursing,95.38%in the observation group was higher than 81.54%in the control group,the difference was statistically significant(χ^(2)=6.104,P=0.013).Conclusion Anesthesia care can speed up the recovery of elderly patients undergoing combined spinal-epidural anesthesia after hip replacement,reduce the risk of anesthesia,and promote the recovery of hip joint function.The satisfaction is high and it is worthy of promotion.