老年人下肢骨折手术采用全身麻醉与腰硬联合麻醉临床效果对比研究

Comparative study of clinical effects of general anesthesia and combined spinal-epidural anesthesia in the operation of lower limb fractures in the elderly

目的分析在老年人下肢骨折手术中实施全身麻醉与腰麻硬膜外联合麻醉(腰硬联合麻醉)效果的差异。方法选取该院收治的老年骨折手术患者100例作为研究对象,根据不同麻醉方式分为研究组(腰硬联合麻醉)和对照组(全身麻醉),每组50例。对比两组患者麻醉效果和术后清醒时间的差异。结果研究组患者总有效率明显高于对照组,术后清醒时间明显短于对照组,差异均有统计学意义(P<0.05)。结论在老年人下肢骨折手术患者麻醉过程中采用腰硬联合麻醉效果相对更好。

Objective Analyze the difference in the effects of general anesthesia and combined spinal and epidural anesthesia(combined spinal-epidural anesthesia)in the operation of lower limb fractures in the elderly.Methods A total of 100 elderly patients undergoing fracture surgery in this hospital were selected as the research objects.According to different anesthesia methods,they were divided into a study group(combined spinal-epidural anesthesia)and a control group(general anesthesia),with 50 cases in each group.The difference of the anesthesia effect and postoperative wake-up time between the two groups of patients was compared.Results The total effective rate of the study group was significantly higher than that of the control group,and the postoperative wake-up time was significantly shorter than that of the control group.The difference was statistically significant(P<0.05).Conclusion The effect of combined spinal-epidural anesthesia is relatively better in the anesthesia process of elderly patients with lower limb fracture surgery.