The effect of general anesthesia and intraspinal anesthesia on the incidence of postoperative delirium,pain,and adverse events in elderly patients with hip fractures
Objective To explore the effects of general anesthesia and intraspinal anesthesia on the incidence of postoperative delirium,pain,and adverse events in elderly patients with hip fractures in this study.Methods A total of 80 patients aged 65 and above who underwent hip fracture surgery at the Orthopedics Department of Nantong Haimen People's Hospital,Jiangsu Province from January 2018 to December 2022 were selected.They were divided into a general anesthesia group(n=40)and an intraspinal anesthesia group(n=40)by random number method.The general patient information was collected and the incidence of delirium within 7 days after surgery was assessed.The delirium rating scale(DRS-98)was used to assess the patient's delirium score,and the pain numerical rating scale(NRS)was used to evaluate the average pain level and incidence of adverse events within 7 days after surgery.Results The incidence of postoperative delirium in the general anesthesia group was higher than that of patients in intraspinal anesthesia group,with statistically significant difference(P<0.05).The DRS-98 score of patients in the general anesthesia group was higher than that of patients in intraspinal anesthesia group,with statistically significant difference(P<0.05).There was no statistically significant difference in postoperative pain scores and incidence of adverse events between the two groups of patients(P>0.05).Conclusion Compared with general anesthesia,intraspinal anesthesia can significantly reduce the incidence of postoperative delirium in elderly patients aged 65 and above undergoing hip fracture surgery.
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