不同麻醉方式对老年手术患者术后感染率及疼痛状态的影响比较

发布时间：2019-05-16 14:50

【摘要】：目的探讨不同麻醉方式对老年手术患者术后感染发生及疼痛状态的影响,以寻找更合适老年手术患者的麻醉方式。方法收集医院2013年1月-2015年1月骨科及肿瘤科收治300例行手术治疗患者,分为3组各100例,A组给予吸入强化全麻,B组给予静脉强化全麻,C组给予硬膜外麻醉;观察三组患者手术后至拆线前感染情况,包括感染部位及感染例数;术后0、6、12、24、48h视觉模拟疼痛(VAS)评分,以了解术后不同时间患者疼痛情况;同时观察三组患者麻醉相关并发症发生情况。结果 A组术后15例发生感染,B组术后10例发生感染,C组术后3例发生感染,C组术后感染率低于其他两组(P0.05);感染部位发生率对比,差异无统计学意义;三组术后0hVAS评分对比,差异无统计学意义,术后6、12、24hVAS评分均高于同组术后0h(P0.05),三组术后同期组间两两对比,差异均无统计学意义;三组术后均未见严重麻醉相关并发症,C组麻醉相关并发症发生率低于A、B组(P0.05)。结论老年手术患者选择硬膜外麻醉,可降低术后感染及疼痛状态,是老年患者理想选择。
[Abstract]:Objective to investigate the effect of different anaesthesia methods on postoperative infection and pain in elderly patients, so as to find a more suitable anesthetic method for elderly patients. Methods from January 2013 to January 2015, 300 patients in orthopedic department and oncology department were divided into three groups: group A (n = 100), group B (n = 100) and group C (epidural anesthesia). The (VAS) scores of visual simulated pain at 0, 6, 12, 24 and 48 hours after operation were observed, including the location of infection and the number of infection cases, in order to understand the pain status of the patients at different time after operation. At the same time, the incidence of anesthesia-related complications in the three groups was observed. Results infection occurred in 15 cases in group A, 10 cases in group B and 3 cases in group C, and the postoperative infection rate in group C was lower than that in the other two groups (P 0.05). There was no significant difference in the incidence of infection sites between the two groups. There was no significant difference in 0hVAS score among the three groups after operation. At 6, 12 and 24 hours after operation, the VAS score of the three groups was higher than that of the same group at 0 hours after operation (P 0.05). There was no significant difference between the three groups at the same time after operation. No severe anesthesia-related complications were found in all three groups. The incidence of anesthesia-related complications in group C was lower than that in group A. the incidence of anesthesia-related complications in group C was lower than that in group A (P 0.05). Conclusion epidural anesthesia can reduce postoperative infection and pain in elderly patients, and it is an ideal choice for elderly patients.
【作者单位】：南阳市中心医院麻醉科;
【基金】：河南省卫生厅资助项目(201401027)
【分类号】：R614

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