不同麻醉方式对股骨粗隆间骨折患者的影响

发布时间：2018-01-22 06:03

本文关键词： 全身麻醉椎管内麻醉高龄股骨间骨折术后恢复　出处：《当代医学》2016年17期 　论文类型：期刊论文

【摘要】：目的探讨全身麻醉与椎管内麻醉对高龄股骨粗隆间骨折患者术后恢复效果的影响。方法选择65例高龄股骨粗隆间骨折患者为研究对象,将患者随机分为对照组(32例)和观察组(33例),对照组行全身麻醉,观察组行椎管内麻醉,观察2组患者术后情况。结果观察组平均住院时间和下地活动所需时间分别为(8.2±3.4)d、(72.3±27.6)h,对照组分别为(13.2±3.6)d、(103.5±31.5)h,观察组2项时间均明显短于对照组,差异具有统计学意义(P0.05)。对照组和观察组并发症发生率分别为28.1%和9.1%,差异具有统计学意义(P0.05)。结论高龄股骨间粗隆间骨折患者行椎管内麻醉可有效降低术后并发症发生率,住院时间和下床活动时间可有效缩短,有利于患者及早恢复,值得在临床上推广应用。
[Abstract]:Objective to investigate the effect of general anesthesia and intraspinal anesthesia on postoperative recovery of elderly patients with intertrochanteric fracture. The patients were randomly divided into control group (n = 32) and observation group (n = 33). Results the average hospitalization time and the time required for subsurface activity in the observation group were 8.2 卤3.4 days and 72.3 卤27.6 hours, respectively. In the control group, 103.5 卤31.5 hs were found in the control group, and the time of the two items in the observation group was significantly shorter than that in the control group. The difference was statistically significant (P 0.05). The incidence of complications in the control group and the observation group were 28.1% and 9.1% respectively. Conclusion Intramedullary anesthesia of intertrochanteric fracture can effectively reduce the incidence of postoperative complications, hospital stay and the time of getting out of bed can be effectively shortened in elderly patients with intertrochanteric fracture. It is beneficial to the early recovery of patients and is worth popularizing in clinic.
【作者单位】：南昌大学第一附属医院麻醉科;
【分类号】：R614
【正文快照】： 股骨粗隆间骨折主要指粗隆水平以上到股骨颈基底以下的部位发生的骨折。近年来,高龄股骨粗隆间骨折的发生率逐渐上升,主要因为老年群体人数不断增多,且老年人多患有不同程度的骨质疏松。老年股骨粗隆间骨折多伴有不同程度内科疾病,比如高血药、糖尿病等,使手术治疗的不安全因

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