全身麻醉和硬膜外麻醉对老年股骨颈骨折髋关节置换术的影响

发布时间：2018-09-04 06:45

【摘要】：目的:评价全身麻醉与硬膜外麻醉对老年股骨颈骨折患者髋关节置换手术的影响,探讨适合老年患者行髋关节置换术的麻醉方法。方法:共91例老年股骨颈骨折患者接受髋关节置换术。其中全身麻醉组50例,硬膜外麻醉组41例。比较2种麻醉方法在手术时间、出血量、术后输血量、术后恶心呕吐、术后尿潴留、住院天数等方面的指标。结果:硬膜外麻醉组患者在术后恶心呕吐、术后输血量、住院天数优于全身麻醉组,差异有统计学意义(P0.05);手术时间、出血量、术后尿潴留方面比较,差异无统计学意义(P0.05)。结论:老年股骨颈骨折患者行髋关节置换术时,实施硬膜外麻醉方法与全身麻醉方法相比,硬膜外麻醉方法能降低术后恶心呕吐发生率,减少术后输血量,缩短住院时间,有一定的优越性,值得推荐。
[Abstract]:Objective: to evaluate the effect of general anesthesia and epidural anesthesia on hip arthroplasty in elderly patients with femoral neck fracture and to explore the anaesthesia method for hip replacement in elderly patients. Methods: a total of 91 elderly patients with femoral neck fracture underwent hip replacement. There were 50 cases in general anesthesia group and 41 cases in epidural anesthesia group. The operative time, blood loss, blood transfusion, postoperative nausea and vomiting, postoperative urinary retention and hospital stay were compared between the two anesthesia methods. Results: the postoperative nausea and vomiting, blood transfusion and hospitalization days in epidural anesthesia group were significantly better than those in general anesthesia group (P0.05), but there was no significant difference in operation time, blood loss and postoperative urinary retention (P0.05). Conclusion: compared with general anesthesia, epidural anesthesia can reduce the incidence of nausea and vomiting, reduce the amount of blood transfusion and shorten the hospital stay in elderly patients with femoral neck fracture. Has certain superiority, is worth recommending.
【作者单位】：徐州医学院第二附属医院骨科;
【分类号】：R614

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