Application Value of Ultrasound-guided Lumbar Plexus Combined with Sciatic Nerve Block Anesthesia in Elderly Patients Undergoing Artificial Femoral Head Replacement
Objective To explore the application value of ultrasound-guided lumbar plexus combined with sciatic nerve block anesthesia in elderly patients with artificial femoral head replacement.Methods A total of one hundred and forty-six elderly patients undergoing artificial femoral head replacement treated in Rudong County Hospital of Traditional Chinese Medicine,Jiangsu Province from May 2021 to May 2023 were non-randomly selected as the study objects.According to different anesthesia methods,they were divided into control group and observation group,with seventy-three cases each.The control group was given general anesthesia,and the observation group was given ultrasound-guided lumbar plexus combined with sciatic nerve block anesthesia.The physiological indexes,periopera-tive conditions and adverse reactions were compared between the two groups after anesthesia.Results The heart rate,mean arterial pressure,aldosterone,adrenaline and plasma renin activities in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).All perioperative conditions in the ob-servation group were better than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in control group(13.70%)was higher than that in observation group(4.11%),and the difference was statistically significant(χ2=4.137,P<0.05).Conclusion For elderly patients undergoing artifi-cial femoral head replacement,ultrasound-guided lumbar plexus combined with sciatic nerve block anesthesia can al-leviate physiological stress response,optimize perioperative indexes,and reduce the incidence of adverse reactions,which is worthy of clinical reference.
Ultrasonic guidanceLumbar plexus combined with sciatic nerve block anesthesiaArtificial femoral head replacementPhysiological indexPerioperative situationAdverse reactions
万方数据
维普
