超声引导下髂筋膜阻滞联合轻比重腰麻在老年人髋关节手术中的临床应用

Clinical application of ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia in elderly hip surgery

目的探讨超声引导下髂筋膜阻滞联合轻比重腰麻在老年人髋关节手术中的临床应用效果。方法选取2019年1月—2022年12月期间治疗的300例老年髋关节患者为研究对象,根据其手术治疗时间进行分组,每组150例,其中2019年1月—2020年12月期间治疗的患者为对照组,实施轻比重腰麻;2021年1月—2022年12月期间治疗的患者为研究组,实施超声引导下髂筋膜阻滞联合轻比重腰麻。对比两组麻醉效果、相关并发症发生情况。结果对比分析发现,研究组患者感觉阻滞见效时间、成功时间及运动阻滞起效时间、成功时间均短于对照组(P<0.05);研究组患者整个治疗期间相关并发症总发生率为3.34%,较对照组的9.34%低(P<0.05)。结论在老年患者髋关节手术治疗中积极实施超声引导下髂筋膜阻滞联合轻比重腰麻,能起到更为理想的麻醉效果,减少患者发生相关并发症。

Objective To explore the clinical effect of ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia in elderly hip surgery.Methods A total of 300 elderly patients with hip joint diseases who were treated in our hospital from January 2019 to December 2022 were selected as study subjects.They were divided into two groups according to their surgical treatment time,150 patients in each group.Among them,patients who were treated from January 2019 to December 2020 served as the control group,and received hypobaric spinal anesthesia;those who were treated from January 2021 to December 2022 served as the study group,and received ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia.The anesthesia effect and related complications were compared between the two groups.Results Comparative analysis results showed that the effective time and successful time of sensory block and motor block in the study group were shorter than those in the control group(P<0.05).The total incidence of related complications in the study group during the whole treatment period was 3.34%,lower than 9.34%in the control group(P<0.05).Conclusion The active implementation of ultrasound-guided iliac fascia block combined with hypobaric spinal anesthesia in the treatment of hip joint surgery in elderly patients generates an ideal anesthetic effect and reduces the occurrence of related complications in patients.