Comparison of the effect of femoral nerve combined with lateral femoral cutaneous nerve block anesthesia and lumbo-epidural anesthesia in the operation of lower extremity fracture in elderly critically ill patients
Comparison of the effect of femoral nerve combined with lateral femoral cutaneous nerve block anesthesia and lumbo-epidural anesthesia in the operation of lower extremity fracture in elderly critically ill patients
Objective To investigate the effect of femoral nerve+lateral femoral cutaneous nerve block anesthesia and combined epidural anesthesia in the operation of lower extremity fracture in elderly patients with critical illness.Methods A total of 100 elderly patients with critical lower extremity fracture who visited the Department of Orthopedics,Zhangzhou Hospital Affiliated to Fujian Medical University from June 2022 to June 2023 were selected as the study objects.They were divided into control group(50 cases)and observation group(50 cases)by random number table method.The control group was given combined epidural anesthesia.Femoral nerve+lateral femoral cutaneous nerve block anesthesia was used in the observation group.The hemodynamic indexes,oxidative stress indexes and adverse reactions of the two groups were com-pared before anesthesia(T0),immediately after anesthesia(T1),30 min after anesthesia(T2)and immediately after surgery(T3).Results The systolic blood pressure(SBP),diastolic blood pressure(DBP)and mean arterial pressure(MAP)levels of T0 between the two groups had no statistical significance(P＞0.05),but the SBP,DBP and MAP levels of T1-T3 in the observa-tion group were higher than those in the control group,with statistical significance(P＜0.05).There was no statistical signif-icance in the levels of norepinephrine(NE)and malondialdehyde(MDA)between the two groups at T0time point(P＞0.05),but the levels of NE and MDA at T1-T3 time in the observation group were lower than those in the control group,with statis-tical significance(P＜0.05).The total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclusion The anesthesia method of femoral nerve+lat-eral femoral cutaneous nerve block is suitable for lower limb fracture surgery in elderly critically ill patients,which is con-ducive to reducing oxidative stress response,stabilizing hemodynamic index levels,and has high safety.
维普
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