Comparison of the effect of general anesthesia and lumbar plexus-sciatic nerve block in femoral neck fracture surgery
Objective To analyze the effect of general anesthesia and lumbar plexus-sciatic nerve block in femoral neck fracture surgery.Methods 70 patients undergoing femoral neck fracture surgery were divided into an observation group(35 cases)and a control group(35 cases)according to anesthesia method.The control group was given general anesthesia,and the observation group was given lumbar plexus-sciatic nerve block.The anesthesia effect,recovery time,speech function recovery time,postoperative analgesia,occurrence of adverse reactions and hemodynamic parameters were compared between the two groups.Results The total effective rate of anesthesia in the observation group was 97.14%,which was higher than 80.00%in the control group(P<0.05).The observation group had recovery time of(3.39±2.22)min and speech function recovery time of(6.86±2.39)min,which were shorter than(10.26±2.28)and(15.33±2.74)min in the control group;the observation group had lower analgesia score of(2.44±0.67)points than(5.18±0.72)points in the control group(P<0.05).Before anesthesia,there were no differences in mean arterial pressure,heart rate and blood oxygen saturation between the two groups(P>0.05).After anesthesia,during surgery and after surgery,the mean arterial pressure and blood oxygen saturation in both groups were lower than those before anesthesia,while the heart rate was higher than that before anesthesia;but the mean arterial pressure and blood oxygen saturation in the observation group were higher than those in the control group,and the heart rate was lower than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was 5.71%,which was lower than 25.71%in the control group(P<0.05).Conclusion The effect of lumbar plexus-sciatic nerve block in patients undergoing femoral neck fracture surgery is much better than that of general anesthesia,which can stabilize the hemodynamic parameters,and has higher safety and ideal analgesic effect.
万方数据
维普
