摘要
目的探讨舒芬太尼应用于老年髋部骨折患者的麻醉效果及对其感觉与运动阻滞时间的影响。方法选取2020年1月至2021年12月阳谷县人民医院收治的120例老年髋部骨折患者作为研究对象,按照随机数字表法分为舒芬太尼组与常规麻醉组,每组60例。比较两组感觉、运动阻滞时间与麻醉前后视觉模拟评分法(VAS)评分、并发症发生情况。结果舒芬太尼组感觉阻滞起效、运动阻滞持续时间均短于常规麻醉组,运动阻滞起效、运动阻滞完全及感觉阻滞持续时间均长于常规麻醉组,差异有统计学意义(P<0.05)。麻醉后,两组安静状态、活动状态VAS评分均低于麻醉前,且舒芬太尼组低于常规麻醉组,差异有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义。结论舒芬太尼应用于老年髋部骨折患者的麻醉效果显著,能有效延长患者感觉阻滞时间,缩短运动阻滞时间,减轻术后疼痛程度,安全性较高。
Objective To investigate the anesthetic effect of sufentanil on elderly patients with hip fracture and its effect on sensory and motor block time.Methods A total of 120 elderly patients with hip fracture admitted to Yanggu County People's Hospital from January 2020 to December 2021 were selected as the research subjects,they were divided into the sufentanil group and the routine anesthesia group according to the random number table method,with 60 cases in each group.The sensory and motor block time,visual analogue scale[VAS]score before and after anesthesia and incidence of complications were compared between the two groups.Results The onset of sensory block and duration of motor block in the sufentanil group were shorter than those in the routine anesthesia group,and the onset of motor block,complete motor block and duration of sensory block were longer than those in the routine anesthesia group,the differences were statistically significant(P<0.05).After anesthesia,the VAS scores of quiet state and active state of the two groups were lower than those before anesthesia,and the sufentanil group were lower than the routine anesthesia group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups.Conclusion Sufentanil has significant anesthetic effect in elderly patients with hip fracture,it can effectively prolong the sensory block,shorten the motor block,reduce the degree of postoperative pain,and has high safety.
作者
杨丽敬
张琦
张修德
YANG Lijing;ZHANG Qi;ZHANG Xiude(Department of Anesthesiology,Yanggu County People's Hospital,Liaocheng,Shandong,252300,China)
出处
《当代医学》
2023年第35期130-132,共3页
Contemporary Medicine
