The Application Effect of ultrasound-guided femoral Nerve and lateral femoral cutaneous Nerve Block Anesthesia combined with general Anesthesia in elderly Hip Replacement Surgery
Objective To analyze the actual effect of ultrasound-guided femoral nerve and lateral femoral cutaneous nerve block anesthesia combined with general anesthesia in elderly hip replacement surgery.Methods A study was conducted on 60 elderly patients who underwent hip replacement surgery at Jiaozuo People's Hospital from January 2021 to February 2023;With the assistance of interval randomization,the samples were divided into groups.The control group(30 cases)received only intubation general anesthesia during surgery;The study group(30 cases)adopted ultrasound-guided femoral nerve and lateral femoral cutaneous nerve block anesthesia combined with general anesthesia.Perioperative hemodynamic related indicators(mean heart rate,mean arterial pressure),stress response related indicators(adrenaline,norepinephrine,cortisol),incidence of adverse reactions,postoperative recovery time,and postoperative extubation time between two groups were compared.Results There was no statistically significant difference in average heart rate and average arterial pressure levels between the two groups before anesthesia(P＞0.05).However,during and 10 minutes after skin cutting,both indicators in the two groups significantly decreased.The reduction in the study group was smaller than that in the control group,and the difference was statistically significant(P＜0.05);There was no statistically significant difference in the comparison of body stress response indicators between groups before anesthesia(P＞0.05).The levels of adrenaline,norepinephrine,and cortisol in both groups significantly increased during and 10 minutes after skin cutting.The increase in the study group was lower than that in the control group,and the difference was statistically significant(P＜0.05);There was no statistically significant difference in the incidence of adverse anesthesia reactions between the control group and the study group(P＞0.05),which were 13.33%and 23.33%,respectively;There was no statistically significant difference in postoperative recovery time and extubation time between the control group and the study group(P＞0.05).Conclusion The application of ultrasound-guided femoral nerve and lateral femoral cutaneous nerve block anesthesia combined with general anesthesia in elderly hip replacement surgery is beneficial for maintaining intraoperative hemodynamics and stable stress response,and has no significant negative impact on postoperative awakening and anesthesia related adverse reactions.It is worth applying.
ultrasound-guided block anesthesia of the femoral nerve and lateral femoral cutaneous nervegeneral anesthesiaelderly hip replacement surgery
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维普
