Effect of Laryngeal Mask General Anesthesia on Hemodynamics in Patients Aged＞70 Years Undergoing Hip Surgery
Objective:To analyze the effect of laryngeal mask general anesthesia on hemodynamics in patients aged＞70 years undergoing hip surgery.Methods:104 hip surgery patients aged＞70 years admitted to the hospital from December 2019 to December 2021 were selected and divided into two groups according to the methods of anesthesia,which were the experimental group(52 cases,general anesthesia by laryngeal mask)and the conventional group(52 cases,general anesthesia by endotracheal tube).The effect of surgical anesthesia and the use of visual analog score(VAS)were compared between the two groups of patients 6 h postoperatively and 12 h postoperatively,and the intraoperative hemodynamic indexes[mean arterial pressure(MAP),heart rate(HR)]as well as the incidence of adverse reactions were compared between the two groups 0.5 h and 1 h intraoperatively.Results:The onset of anesthesia in the experimental group was less than that in the conventional group,and the maintenance time of anesthesia was greater than that in the control group,with statistically significant differences(t=13.809,5.005;P＜0.05).At 6 h postoperatively and 12 h postoperatively,the pain VAS score of the experimental group was lower than that of the conventional group,and the difference was statistically significant(t=9.471,6.897;P＜0.05).The MAP level of patients in the experimental group was lower than that of the conventional group in the preoperative and intraoperative 0.5 h,and the HR level was higher than that of the conventional group,and the difference was statistically significant(t=7.854,6.694;t=8.241,3.522;P＜0.05).The rate of postoperative occurrence of adverse reactions in the experimental group was significantly lower than that in the conventional group,and the difference was statistically significant(χ2=4.981,P＜0.05).Conclusion:Laryngeal mask general anesthesia improves anesthesia for hip surgery,relieves pain,stabilizes hemodynamics,and reduces the incidence of adverse effects in hip surgery patients aged＞70 years.
Endotracheal general anesthesiaLaryngeal mask general anesthesiaHip surgeryIncidence of adverse effectsHemodynamics
万方数据
维普
