Comparison of Spinal Epidural Anesthesia and General Anesthesia Combined with Nerve Block Anesthesia for Patients with Distal Lower Limb Fractures
Objective To compare and analyze effect and safety of preoperative lumbar epidural anesthesia and general anesthesia combined with nerve block anesthesia for patients with distal lower limb fractures.Methods The paper chose 60 patients with distal lower limb fractures with surgical treatment in our hospital from January 2021 to August 2022 as observation subjects,and divided them into control group(30 cases)and observation group(30 cases)according to different anesthesia methods.Control group was treated with combined spinal epidural anesthesia scheme,while observation group with combined general anesthesia and nerve block anesthesia scheme.Anesthesia effect between two groups was observed and compared,recovery during and after anesthesia was recorded,changes in blood pressure and heart rate indicators of each group during anesthesia were monitored,specific manifestations of adverse reactions in each group were observed after anesthesia,and total incidence of occurrence was calculated.Results Anesthesia effect of observation group was significantly higher than control group(P<0.05).At the same time,duration of sensory and motor block maintenance,postoperative pain relief in observation group was longer than control group,out of bed time was shorter than control group(P<0.05).Average arterial pressure and heart rate measurements of observation group was higher than control group at 10 and 30 minutes of anesthesia,as well as at the end of surgery(P<0.05).There was no statistically significant difference in total incidence of adverse reactions after anesthesia between two groups(P>0.05).Conclusion Combination of general anesthesia and nerve block anesthesia can achieve better clinical effect than lumbar epidural anesthesia in surgical treatment of distal lower limb fractures,with advantages of mild postoperative pain,early functional exercise,without indwelling catheterization,which is worth promoting.
万方数据
维普
