Anesthetic Effect of Ultrasound-Guided Lower Limb Nerve Block Anesthesia in Elderly Patients with Hip Fracture
Objective To explore the anesthetic effect of ultrasound-guided lower limb nerve block anesthesia in elderly patients with hip fracture.Methods A total of 82 elderly patients with hip fractures treated in Zhenping County People's Hospital from October 2019 to September 2023 were selected.They were divided into the control group(41 cases)and the research group(41 cases)according to the random number table method.The control group was given tracheal intubation general anesthesia,and the research group was given ultrasound-guided lower limb nerve block anesthesia.The postoperative recovery indicators,cognitive function[Mini-Mental State Examination(MMSE)],degree of pain[Visual Analogue Scale(VAS)],hemodynamics[heart rate(HR),blood oxygen saturation(SpO2),diastolic blood pressure(DBP),systolic blood pressure(SBP)],and complications of the two groups were compared.Results The recovery,getting out of bed,and hospital stay of the research group were all shorter than those of the control group,with statistically significant differences(P＜0.05).At 24 hours after surgery,the MMSE score of the research group was lower than before surgery,with a statistically significant difference(P＜0.05),and there was no statistically significant difference compared with before surgery at 72 hours after surgery(P＞0.05).The MMSE scores of the control group at 24 hours and 72 hours after surgery were both lower than before surgery,with statistically significant differences(P＜0.05),but the MMSE scores of the research group at 24 hours and 72 hours after surgery were both higher than those of the control group,with statistically significant differences(P＜0.05).The VAS scores of the two groups at 6 hours and 12 hours after surgery were lower than at 2 hours after surgery,with statistically significant differences(P＜0.05),and the VAS scores of the research group at each time point were all lower than those of the control group,with statistically significant differences(P＜0.05).After anesthesia induction,the hemodynamic indicators of the two groups were all lower than before anesthesia induction,with statistically significant differences(P＜0.05),but the hemodynamic indicators of the research group were all higher than those of the control group,with statistically significant differences(P＜0.05).The incidence of complications in the research group(7.32%)was lower than that in the control group(29.27%),with a statistically significant difference(P＜0.05).Conclusion Ultrasound-guided lower limb nerve block anesthesia applied in elderly patients with hip fractures can accelerate postoperative recovery,alleviate the degree of pain,reduce the impact on cognitive function,stabilize hemodynamics,and reduce the occurrence of complications.
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