首页|老年髋关节置换术患者运用全身麻醉与椎管内麻醉的效果分析

老年髋关节置换术患者运用全身麻醉与椎管内麻醉的效果分析

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目的 研究全身麻醉和椎管内麻醉在老年髋关节置换术中的应用价值.方法 方便选取2021年1月—2024年1月兖矿新里程总医院行髋关节置换术的176例老年患者为研究对象,以随机数字表法分为两组,对照组88例行全身麻醉,观察组88例行椎管内麻醉.比较两组患者的认知功能和留观时间、生命体征(平均动脉压、心率)和麻醉不良反应发生情况.结果 观察组术后6 h的认知功能评分[(27.16±1.42)分]高于对照组[(25.64±1.62)分],留观时间[(10.83±3.64)min]短于对照组[(15.53±3.23)min],差异有统计学意义(t=6.618、9.059,P均<0.05).麻醉10 min和手术结束时,观察组的平均动脉压与心率更高且更稳定,差异有统计学意义(P均<0.05).观察组麻醉并发症总发生率更低,差异有统计学意义(P<0.05).结论 相比于全身麻醉方式,以髋关节置换术治疗的老年患者更适合采取椎管内麻醉方式,可保证患者术中生命体征更加稳定,减少麻醉并发症发生风险,麻醉效果可靠.
Analysis of the Effect of General Anesthesia and Intraspinal Anesthesia in Elderly Patients Undergoing Hip Replacement
Objective To study the application value of general anesthesia and spinal anesthesia in elderly hip re-placement surgery.Methods A total of 176 elderly patients who underwent hip replacement in Yankuang New Journey General Hospital from January 2021 to January 2024 were conveniently selected as observation subjects.They were di-vided into two groups by random number table method.88 patients in the control group underwent general anesthesia,and 88 patients in the observation group underwent spinal anesthesia.The cognitive function and observation time,vi-tal signs(mean arterial pressure,heart rate)and anesthesia complications were compared between patients in two groups.Results The cognitive function score of the observation group at 6 h after operation[(27.16±1.42)points]was higher than that of the control group[(25.64±1.62)points],and the observation time of the observation group[(10.83±3.64)min]was shorter than that of the control group[(15.53±3.23)min],the differences were statistically significant(t=6.618,9.059,both P<0.05).At 10 min of anesthesia and at the end of surgery,the mean arterial pressure and heart rate of the observation group were higher and more stable,and the differences were statistically significant(both P<0.05).The total incidence of anesthesia complications in the observation group was lower,and the difference was sta-tistically significant(P<0.05).Conclusion Compared with general anesthesia,elderly patients treated with hip replace-ment are more suitable for intraspinal anesthesia,which can ensure that patients'vital signs are more stable during op-eration,reduce the risk of anesthesia complications,and the anesthesia effect is reliable.

Hip replacement surgeryElderly patientsGeneral anesthesiaIntraspinal anesthesiaExcellent anesthesia rate

秦娟、聂丰静、朱清华

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兖矿新里程总医院麻醉科,山东 济宁 273500

髋关节置换术 老年患者 全身麻醉 椎管内麻醉 麻醉优良率

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(20)