Application value of ultrasound-guided unilateral subarachnoid block with bupivacaine in hip replacement surgery for elderly patients with femoral neck fractures
10.3969/j.issn.1673-9701.2024.12.008
- VernacularTitle:超声引导下布比卡因单侧蛛网膜下腔阻滞在老年患者股骨颈骨折髋关节置换术中的应用价值
- Author:
Lijuan REN
1
;
Ying LIN
2
;
Yumin LI
3
;
Zhenzhen ZHANG
1
;
Xiuzhen XIAO
1
Author Information
1. Department of Ultrasound Medicine, Ganzhou Traditional Chinese Medicine Hospital, Ganzhou 341000, Jiangxi, China
2. Department of Anesthesiology, Ganzhou Traditional Chinese Medicine Hospital, Ganzhou 341000, Jiangxi, China
3. Second Department of Orthopedics, Ganzhou Traditional Chinese Medicine Hospital, Ganzhou 341000, Jiangxi, China
- Publication Type:Journal Article
- Keywords:
Ultrasonic guidance;
Bupivacaine;
Hip replacement;
Hemodynamics;
Anesthesia and analgesia
- From:
China Modern Doctor
2024;62(12):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of ultrasound-guided use of bupivacaine for subarachnoid block in hip replacement surgery for elderly femoral neck fractures.Methods A total of 108 elderly patients who underwent hip replacement surgery at Ganzhou Traditional Chinese Medicine Hospital from March 2020 to March 2022 were selected as the study subjects.They were divided into conventional anesthesia group and ultrasound guided anesthesia group by means of random number table,54 cases in each group.Patients in the conventional anesthesia group received routine general anesthesia;Patients in the ultrasound guided anesthesia group received unilateral lumbar anesthesia with bupivacaine under ultrasound-guided guidance.Compare the effectiveness of two anesthesia methods during surgery.Results Compared with the conventional anesthesia group,the anesthesia effect of the ultrasound guided anesthesia group was better(P<0.05);The surgery time,amount of bleeding during surgery,postoperative recovery time,and length of hospital stay in the ultrasound guided anesthesia group were all lower than those in the conventional anesthesia group(P<0.05).The ultrasound guided anesthesia group performed better in terms of hemodynamic stability,with a smaller range of changes,and significantly lower pain scores at different postoperative time points compared to the conventional anesthesia group(P<0.05).Conclusion In elderly patients undergoing hip replacement surgery,using ultrasound-guided bupivacaine for subarachnoid block can achieve ideal anesthesia and analgesic effects compared to traditional general anesthesia,shorten drug onset time,alleviate pain in elderly patients,maintain hemodynamic stability,and have significant clinical application effects.
