首页|加速康复理念老年髋关节置换术使用不同麻醉方式的临床疗效评价

加速康复理念老年髋关节置换术使用不同麻醉方式的临床疗效评价

Evaluation of the clinical efficacy of different anesthesia methods in elderly hip replacement surgery based on the concept of accelerated recovery

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目的:探讨在加速康复理念指导下老年髋关节置换术患者应用不同麻醉方式的临床疗效差异.方法:回顾医院行髋关节置换术的160例老年患者.所有患者根据麻醉方式不同,等量纳入全身麻醉组(全麻组)和腰硬联合麻醉组(区域组).观察、记录并比对两组患者在围术期内的并发症发生情况、生命体征变化数据、麻醉恢复期数据以及患者满意度.结果:区域组患者在围术期内的并发症发生情况、围术期生命体征、麻醉恢复指标以及患者满意度方面的表现均优于全麻组(P<0.05).结论:在加速康复理念指导下,对行老年髋关节置换术的患者应用腰硬联合麻醉相较于全身麻醉,能显著降低围术期并发症的发生率,减少术中出血量和输液量,缩短手术时间,加快术后康复速度,并能提高患者满意度.
Objective:To evaluate the clinical efficacy of different anesthesia methods in elderly patients undergoing hip replacement under the guidance of the concept of accelerated recovery.Methods:A total of 160 elderly patients who underwent hip replacement in hospital were reviewed.All patients were equally divided into the general anesthesia group (general anesthesia group) and the combined spinal-epidural anesthesia group (regional group) according to different anesthesia methods.The incidence of perioperative complications,perioperative vital signs changes,anesthesia recovery data and patient satisfaction between the two groups were observed,recorded and compared.Results:After comparative analysis,the regional group performed better than the general anesthesia group in terms of perioperative complications,perioperative data,anesthesia recovery data and patient satisfaction (P<0.05).Conclusion:Under the guidance of the concept of accelerated recovery,the use of combined spinal-epidural anesthesia in patients undergoing hip replacement in the elderly can significantly reduce the incidence of perioperative complications,reduce intraoperative bleeding and infusion volume,shorten the operation time,speed up postoperative recovery,and improve patient satisfaction.

lumbar epidural anesthesiageneral anesthesiahip replacement in the elderlyconcept of accelerated recoverypatient satisfaction

陈磊、李海涛、宋婷婷、车建翔

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中国人民解放军联勤保障部队第九二五医院 贵州贵阳 550000

腰硬联合麻醉 全身麻醉 老年髋关节置换术 加速康复理念 患者满意度

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(4)