Effect of Ropivacaine Combined Lumbo-Epidural Block Anesthesia on Ar-tificial Hip Replacement In Elderly Patients and Influence of VAS Score
Objective To study the clinical efficacy of ropivacaine combined spinal epidural block anesthesia in el-derly patients undergoing artificial hip replacement surgery and its impact on the visual analog scale(VAS)score.Methods Sixty elderly patients who underwent artificial hip replacement surgery at the West Coast Second Hospital of Qingdao University Medical Group from February 2020 to February 2023 were objectively selected and divided into two groups by different anethesia methods.The control group(n=30)received routine general anesthesia,while the ob-servation group(n=30)received ropivacaine combined spinal epidural block anesthesia.The heart rate,mean arterial pressure,blood pressure,anesthetic effec,pain scores and Ramsay scores,incidence of adverse reactions.Results During surgery,the average arterial pressure,heart rate,and blood pressure levels of the observation group were higher than those of the control group,the difference was statistically significant(all P<0.05);At the time of awaken-ing,the pain score 2.40±0.61 and Ramsay score 3.83±1.17 of the observation group were better than 3.56±0.81 and 2.99±0.69 of the control group,the difference was statistically significant(t=8.298,4.373,both P<0.05);The inci-dence of adverse reactions in the observation group was not significant compared to the control group,and the differ-ence was not statistically significant(P>0.05).Conclusion Elderly patients undergoing artificial hip replacement can improve anesthesia efficacy and reduce pain through ropivacaine combined spinal epidural block anesthesia.
RopivacaineLumboepidural block anesthesiaArtificial hip replacement in the elderlyClinical effectPain score
万方数据
维普
