摘要
目的 观察低剂量丙泊酚静脉麻醉复合局部浸润麻醉在老年髋关节骨折患者手术中的应用效果。方法 随机选取2019年6月—2021年6月医院80例老年髋关节骨折患者,所有患者均采取手术治疗,采用随机数字表法分组,对照组(n=40例)实施全身麻醉,观察组(n=40)采取低剂量丙泊酚静脉麻醉复合局部浸润麻醉,对两组血氧饱和度、平均动脉压、心率、并发症发生状况、麻醉效果和术后不同时间镇痛效果进行比较。结果 血氧饱和度、平均动脉压和心率方面,观察组比对照组高,差异有统计学意义(P <0.05);并发症总发生率方面,观察组(5.00%)更低,与对照组(22.50%)比较,差异有统计学意义(P <0.05);麻醉药物总剂量、麻醉操作时间及苏醒时间方面,观察组更少,与对照组比较,差异有统计学意义(P <0.05);观察组对照组术后2 h疼痛评分差异无统计学意义(P> 0.05),术后4 h、术后8 h及术后12 h,观察组较对照组低,差异有统计学意义(P <0.05);ATⅡ及Cor方面,两组术前对比差异无统计学意义(P> 0.05);术后,观察组较对照组低,差异有统计学意义(P <0.05)。结论 老年髋关节骨折患者手术期间,采用低剂量丙泊酚静脉麻醉复合局部浸润麻醉方法,不仅能够取得显著镇痛效果,而且能够平稳动脉压、心率等,安全性高,镇痛效果明显,其有助于患者术后及早苏醒,值得临床采纳、推广。
Objective To observe the effect of low-dose propofol intravenous anesthesia combined with local infiltration anesthesia in elderly patients with hip fracture surgery. Methods A total of 80cases of elderly patients with hip fracture in our hospital from June 2019 to June 2021 were randomly selected. All patients were treated with surgery. They were divided into two groups by random number table. The control group(n=40) was given general anesthesia, and the observation group(n =40) was given low-dose propofol intravenous anesthesia combined with local infiltration anesthesia. The blood oxygen saturation, mean arterial pressure, heart rate, complications,anesthesia effect and analgesia effect at different time after operation were compared between the two groups. Results The oxygen saturation, mean arterial pressure and heart rate of the observation group were higher than those of the control group, the difference was statistically significant(P < 0.05). The total incidence of complications in the observation group(5.00%) was lower than that in the control group(22.50%), the difference was statistically significant(P < 0.05).The total dose of narcotic drugs, anesthesia operation time and recovery time in the observation group were less than those in the control group,the difference was statistically significant(P < 0.05). There was no significant difference in the pain score at 2 hours after operation in the control group of the observation group(P > 0.05). The pain score at 4hours, 8 hours and 12 hours after operation in the observation group was lower than that in the control group, the difference was statistically significant(P < 0.05). There was no significant difference in at AT II and Cor between the two groups before operation(P > 0.05). After operation, the observation group was lower than the control group, the difference was statistically significant(P < 0.05). Conclusion During the operation of elderly patients with hip fracture, the use of lowdose propofol intravenous anesthesia combined with local infiltration anesthesia can not only achieve significant analgesic effect, but also stabilize arterial pressure and heart rate, with high safety and obvious analgesic effect. It helps patients wake up early after surgery, and is worthy of clinical adoption and promotion.
作者
叶建鸿
詹丽花
YE Jianhong;ZHAN Lihua(Department of Anesthesiology,Nanping First Hospital,Nanping Fujian 353000,China)
出处
《中国卫生标准管理》
2022年第9期123-126,共4页
China Health Standard Management
关键词
老年
髋关节骨折
局部浸润麻醉
低剂量丙泊酚
静脉麻醉
血氧饱和度
elderly
hip fracture
local infiltration anesthesia
low dose propofol
intravenous anesthesia
blood oxygen saturation
