Application effects of combined spinal-epidural anesthesia in elderly patients with lower limb fracture surgery
Objective:To observe application effects of combined spinal-epidural anesthesia in elderly patients with lower limb fracture surgery.Methods:A prospective study was conducted on 60 elderly patients with lower limb fracture surgery admitted to the hospital from January 2020 to December 2022.They were divided into observation group and control group according to the random number table method,30 cases in each group.The control group was treated with epidural anesthesia,while the observation group was treated with combined spinal-epidural anesthesia.The anesthesia-related indexes(onset time of anesthesia,complete block time,dosage of anesthetics)levels,the postoperative eye opening time,the orientation recovery time,the hemodynamic indexes(central venous pressure,heart rate)levels at different time[before anesthesia(T0),10 min after anesthesia(T1),20 min after anesthesia(T2),end of operation(T3)],the delirium[confusion assessment method(CAM)]scores at different time after the surgery(6 h and 24 h after the surgery),and the incidence of adverse reactions were compared between the two groups.Results:The onset time of anesthesia,the complete block time,the postoperative eye opening time,and the directional force recovery time in the observation group were shorter than those in the control group,the dosage of anesthetic drugs was less than that in the control group,and the differences were statistically significant(P<0.05).At T1,T2 and T3,the levels of central venous pressure and heart rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).6 and 24 h after the surgery,the CAM scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:The combined spinal-epidural anesthesia in the elderly patients with lower limb fracture surgery can improve the levels of anesthesia-related indexes,shorten the postoperative eye opening time and complete recovery time,stabilize the levels of hemodynamic indexes,and reduce the postoperative delirium scores.Moreover,it is superior to the epidural anesthesia.
NETL
NSTL
万方数据
维普
