Study on the Application Effect of General Anesthesia and Intraspinal An-esthesia in Elderly Femoral Fracture Surgery and the Influence of Postop-erative Cognitive Function
Objective To study the application effect of general anesthesia and spinal anesthesia in elderly femoral fracture surgery and the impact of postoperative cognitive function.Methods Clinical data of 120 elderly patients with femoral fracture who underwent surgical treatment in Fujian Medical University Affiliated Mindong Hospital from January 2022 to July 2023 were retrospectively selected and divided into two groups according to different anesthesia methods,with 60 cases in each group.The control group received general anesthesia and the study group received in-traspinal anesthesia.The incidence of postoperative delirium,changes of vital signs and cognitive function scores be-fore and after operation were compared between the two groups.Results The mean arterial pressure and heart rate im-mediately after anesthesia and at the end of surgery in the control group were lower than before anesthesia,and lower than those in the study group,the differences were statistically significant(all P<0.05),while the mean arterial pres-sure and heart rate immediately after anesthesia and at the end of surgery in the study group had no statistically sig-nificant difference compared with before anesthesia(all P>0.05).After surgery,the two cognitive function scores of the control group were lower than before surgery,the difference was statistically significant(both P<0.05),while the two scores of the study group compared with before surgery,the differences were not statistically significant(both P>0.05),and the two cognitive function scores of the study group were higher than that of the control group,the differ-ence was statistically significant(both P<0.05).The incidence of postoperative delirium in the study group was 0 lower than that in the control group(8.33%),and the difference was statistically significant(χ2=5.217,P<0.05).Conclusion In the surgery of elderly patients with femoral fractures,the effect of spinal anesthesia is better than that of general an-esthesia,the operative vital signs are more stable,the cognitive function is avoided,and the postoperative delirium is reduced.
万方数据
维普
