摘要
目的探讨髂筋膜间隙阻滞应用于老年股骨粗隆间骨折患者中的麻醉效果。方法选取2018年2月至2019年2月本院就诊的52例老年股骨粗隆间骨折患者作为研究对象。患者均进行动力髋螺钉内固定术,并按照住院号末尾数奇、偶数将患者随机分为奇数组(n=26,选择全身麻醉)和偶数组(n=26,选择髂筋膜间隙阻滞复合全身麻醉)。对比两组麻醉前后的生命指标以及麻醉相关指标。结果麻醉前,两组患者的各项生命指标比较差异无统计学意义;麻醉后,两组患者心率、平均动脉压发生明显变化,且偶数组数据优于奇数组,差异具有统计学意义(P<0.05);麻醉前后两组患者血氧饱和度比较差异无统计学意义。偶数组各项麻醉相关指标与奇数组相比更优,差异具有统计学意义(P<0.05)。结论与全身麻醉相比,患侧髂筋膜间隙阻滞复合全身麻醉的应用于老年股骨粗隆间骨折患者麻醉中的优势更明显,对患者的生命体征影响较小,且麻醉效果较好,安全性高,值得临床推广。
Objective To investigate the anesthetic effect of fascia fascia block in elderly patients with intertrochanteric fractures. Methods A total of 52 elderly patients with intertrochanteric fractures who were admitted to our hospital from February 2018 to February 2019 were enrolled as the study of subjects. All patients underwent dynamic hip screw internal fixation, and the patients were randomly divided into odd arrays(n=26, general anesthesia for anesthesia) and even arrays(n=26, anesthesia method). Gap block combined with general anesthesia. The life indicators before and after anesthesia were compared between the two groups and the anesthesia related indicators. Results Before anesthesia, there was no significant difference in life parameters between the two groups. After anesthesia, the heart rate and mean arterial pressure of the two groups changed significantly, and the even array data was better than the odd array, the difference was statistically significant(P<0.05). Blood oxygen saturation did not occur significantly before and after anesthesia. The anesthesia-related indicators of the even array were superior to the odd arrays, and the difference was statistically significant(P<0.05). Conclusion Compared with general anesthesia, the application of general anesthesia combined with general anesthesia in elderly patients with intertrochanteric fractures has an obvious advantage in anesthesia, less impact on the patient’s vital signs, and better anesthesia, high security, worthy of clinical promotion.
作者
梁鹏
Liang Peng(Department of Anesthesiology,The Eighth People's Hospital of Dongguan,Dongguan,Guangdong,523320,China)
出处
《当代医学》
2020年第8期62-64,共3页
Contemporary Medicine
