摘要
目的研讨老年股骨颈骨折手术患者接受腰丛复合坐骨神经阻滞麻醉处理对术中血压、心率的影响。方法选择2016年12月至2017年12月在我院行股骨颈骨折手术的80例老年患者作随机非盲实验并分组,Ⅰ组接受腰-硬联合麻醉,Ⅱ组在腰丛复合坐骨神经阻滞麻醉下手术,观察评估两组的麻醉处理情况。结果两组麻醉前、麻醉后5min的血压(SBP与DBP)及心率值相比,无统计学意义(P>0.05)。两组在不良反应发生率上的对比,无统计学意义(P>0.05),但Ⅱ组相对Ⅰ组在输液总量上显著减少,比较有统计学意义(P<0.05)。结论对老年股骨颈骨折手术患者实施腰丛复合坐骨神经阻滞麻醉,术中可有效维持血压及心率的平稳,并可尽量减少输液总量,在安全性方面也较为可靠,值得推荐。
Objective To study the effect of lumbar plexus sciatic nerve block anesthesia on the intraoperative blood pressure and heart rate in elderly patients with femoral neck fracture. Methods A total of 80 elderly patients with femoral neck fracture in our hospital from December 2016 to December 2017 were randomly divided into two groups. Group Ⅰ received combined spinal-epidural anesthesia. Group Ⅱ received combined sciatic nerve block Under anesthesia, anesthesia was observed and evaluated in both groups. Results There was no significant difference between the two groups in the incidence of adverse reactions（P〈0.05）. However, the relative volume of transfusion in group Ⅱ was significantly decreased compared with that in group Ⅱ（P〈0.05）. Conclusion The lumbar plexus sciatic nerve block anesthesia in the elderly patients with femoral neck fracture surgery can effectively maintain the stable blood pressure and heart rate, minimize the total amount of infusion, and is also reliable in terms of safety. It is worth recommending.
作者
张鹏
ZHANG Peng(The People ＇s Hospital of Funing County, Yancheng, Jiangsu, 224400)
出处
《智慧健康》
2018年第4期159-160,共2页
Smart Healthcare
关键词
股骨颈骨折手术
血压
心率
Femoral neck fracture surgery
Blood pressure
Heart rate
