摘要
目的观察在治疗老年胫腓骨骨折患者内固定手术时采用不同的麻醉方式对术后预防肺部感染的疗效。方法选取2017年8月-2019年7月该院收治的老年胫腓骨骨折行内固定手术的患者96例,按照随机原则分为两组,即观察组和对照组,各48例。给予观察组患者硬膜外麻醉,给予对照组患者全身麻醉。比较两组患者在术前以及术后不同时间段认知状态检查量表(MMSE)以及疼痛视觉模拟量表(VAS)的评分值,并观察两组患者术后肺部发生感染的情况。结果两组患者术前的MMSE评分值差异无统计学意义(t=0.983,P>0.05);术后12h、24 h以及72 h观察组的MMSE评分值均要高于对照组(t=3.102、3.574、4.105,P<0.05),术后4 h、8 h以及12 h观察组的VAS评分值均要低于对照组(t=3.986、3.741、2.584,P<0.05);观察组术后肺部感染率为2.08%,对照组术后肺部感染率为10.41%,观察组术后肺部感染率要明显低于对照组(χ^2=7.263,P<0.05)。结论在治疗老年胫腓骨骨折患者内固定手术时采用硬膜外麻醉的方法要优于全身麻醉,其能够有效的改善患者术后的认知功能恢复,减轻患者的疼痛感,并且还能够有效的预防患者肺部发生感染。
Objective To observe the effect of different anesthesia methods on postoperative prevention of pulmonary infection in the treatment of elderly patients with tibiofibular fractures. Methods A total of 96 patients with tibia and fibula fractures who underwent internal fixation in the hospital from August 2017 to July 2019 were selected and divided into two groups according to the random principle, that is, 48 cases in the observation group and the control group. Patients in the observation group were given epidural anesthesia, and patients in the control group were given general anesthesia. The scores of the cognitive status check scale(MMSE) and pain visual analog scale(VAS) of the two groups of patients before and after surgery were compared, and the incidence of postoperative pulmonary infection in the two groups of patients was compared. Results There was no significant difference in the MMSE scores between the two groups of patients before surgery(t=0.983, P>0.05);the MMSE scores of the observation group at 12 h, 24 h,and 72 h were higher than those of the control group(t=3.102,3.574,4.105, P<0.05), the VAS scores of the observation group at 4 h, 8 h, and 12 h after surgery were lower than those of the control group(t=3.986,3.741,2.584, P<0.05);the lung infection rate was 2.08%, and the postoperative lung infection rate in the control group was 10.41%. The lung infection rate in the observation group was significantly lower than that in the control group(χ^2= 7.263, P <0.05).Conclusion The use of epidural anesthesia is superior to general anesthesia in the treatment of elderly patients with tibia and fibula fractures. It can effectively improve the recovery of patients’ postoperative cognitive function, reduce pain and effectively prevent lung infections in patients.
作者
宋菁玲
SONG Jing-ling(Department of Anesthesiology,Linze County People's Hospital,Zhangye,Gansu Province,734200 China)
出处
《系统医学》
2020年第5期43-45,共3页
Systems Medicine
关键词
不同麻醉方法
老年胫腓骨骨折
内固定手术
肺部感染
Different anesthesia methods
Tibia and fibula fractures in the elderly
Internal fixation surgery
Pulmonary infection
