全麻与腰硬联合麻醉改善老年下肢骨折患者术后疼痛程度及认知功能的效果对比

Comparison of the Effect of General Anesthesia Combined with Lumbar and Spinal Combined Anesthesia on Postoperative Pain and Cognitive Function in Elderly Patients with Lower Extremity Fractures

目的对比全麻与腰硬联合麻醉改善老年下肢骨折患者术后疼痛程度及认知功能的效果。方法选择2016年9月—2017年5月商丘市第一人民医院手术部麻醉科收治的老年下肢骨折患者100例,根据随机数表法将所有患者分为两组,每组50例。对照组给予全麻,观察组给予腰硬联合麻醉,观察比较两组术后疼痛程度及认知功能。结果术前两组认知功能相比,差异无统计学意义(P>0.05);术后对照组认知水平评分低于观察组,且各阶段疼痛评分均高于观察组,差异有统计学意义(P<0.05)。结论全麻与腰硬联合麻醉能有效缓解老年下肢骨折患者疼痛,有助于术后认知水平的恢复。

Objective To compare the effect of general anesthesia combined with lumbar spinal anesthesia on postoperative pain and cognitive function in elderly patients with lower extremity fractures. Methods From January 2016 to May 2017, 100 cases of elderly patients with lower extremity fractures were treated by anesthesia department of Shangqiu First People ‘s Hospital. All patients were divided into two groups accordingto the random number table method. The rats in the control group were given general anesthesia, and the rats in the observation group were treated with lumbar and spinal anesthesia. The degree of pain and cognitive function were observed and compared between the two groups. Results There was no significant difference in the cognitive function between the two groups(P> 0.05). The cognitive score of the postoperative control group was lower than that of the observation group, and the pain scores of each stage were higher than those in the observation group. The difference was statistically(P<0.05). Conclusion General anesthesia combined with lumbar and spinal anesthesia can effectively relieve pain in elderly patients with lower extremity fractures, which can help to restore the cognitive level after operation.