摘要
目的:分析椎管内麻醉与全身麻醉对高龄股骨粗隆间骨折患者术后恢复的影响。方法:选择104例接受手术治疗的高龄股骨粗隆间骨折患者为研究对象,根据麻醉方法的不同将其分为全麻组(n=49)、椎管组(n=55),分别行全身麻醉、椎管内麻醉,比较两组手术指标、术后恢复情况、并发症发生情况及麻醉满意度。结果:两组麻醉生效时间、术中出血量比较,差异无统计学意义(P>0.05)。椎管组术后下床活动时间、住院时间均短于全麻组,差异有统计学意义(P<0.05)。椎管组术后并发症发生率低于全麻组,差异有统计学意义(P<0.05)。椎管组对麻醉方法的满意度高于全麻组,差异有统计学意义(P<0.05)。结论:高龄股骨粗隆间骨折患者手术中,椎管内麻醉相对于全身麻醉,更有助于促进患者的术后恢复。
Objective:To analyze the effects of intravertebral anesthesia and general anesthesia on postoperative recovery of elderly patients with intertrochanteric fracture.Method:A total of 104 elderly patients with intertrochanteric fracture who underwent surgical treatment were selected as study subjects. They were divided into general anesthesia group(n=49) and spinal canal group(n=55) according to different anesthesia methods.General anesthesia and intravertebral anesthesia were performed respectively.The surgical indexes,postoperative recovery,complications and satisfaction with anesthesia were compared between the two groups.Result:There was no significant difference in the effective time of anesthesia and intraoperative blood loss between the two groups(P>0.05).The time of getting out of bed and hospitalization in the spinal canal group were shorter than those in the general anesthesia group,the differences were statistically significant(P<0.05).The incidence of postoperative complication in the spinal canal group was lower than that in the general anesthesia group,the difference was statistically significant(P<0.05).The satisfaction of the spinal canal group with anesthesia was higher than that of the general anesthesia group,the difference was statistically significant(P<0.05).Conclusion:In elderly patients with intertrochanteric fracture,intraspinal anesthesia is more conducive to postoperative recovery than general anesthesia.
作者
彭国才
PENG Guocai(Zhaotong Second People’s Hospital,Zhaotong 657000,China)
出处
《中外医学研究》
2019年第23期25-27,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
椎管内麻醉
全身麻醉
高龄股骨粗隆间骨折患者
术后恢复
Intraspinal anesthesia
General anesthesia
Elderly patients with intertrochanteric fracture
Postoperative recovery
