Comparison of effects between different anesthesia methods under preoperative optimal measures in elderly patients with hip fracture
10.3969/j.issn.1671-8348.2024.18.013
- VernacularTitle:高龄患者髋部骨折手术前优化措施下不同麻醉方式的效果比较
- Author:
Meijiao LIN
1
;
Qiufen WANG
;
Jialin CAI
;
Jingjia YAN
Author Information
1. 晋江市医院(上海市第六人民医院福建医院)麻醉科,福建泉州 362200
- Keywords:
geriatric anesthesia;
anesthesia optimization;
unilateral lumbar anesthesia;
laryngeal mask general anesthesia;
hip fracture;
orthopedic surgery
- From:
Chongqing Medicine
2024;53(18):2788-2792
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the application effects of different anesthesia methods under preoper-ative optimization measures in elderly patients with hip fracture surgery.Methods A total of 120 elderly pa-tients (≥75 years old) with hip fracture surgery in this hospital from May 2022 to December 2023 were se-lected as the study subjects and divided into group A and group B,60 cases in each group.The two groups a-dopted the preoperative optimization measures.The group A performed "two single three low" (unilateral,once,low position,low concentration and low dose) lumbar anesthesia,while group B conducted the laryngeal mask artificial airway anesthesia.The hemodynamic changes at skin incision in operation beginning (T1),at 30 min after operation (T2),suture at operation end (T3),at the end of operation (T4) and at 30 min after opera-tion end (T5),postoperative recovery time and occurrence situation of complications such as nausea and vomi-ting,agitation,postoperative delirium (POD) were compared between the two groups.Results The systolic blood pressure and the heart rate at T1 in group B were lower than those in group A,and the differences were statistically significant (P<0.05).The systolic blood pressure and heart rate at T4 in group B were higher than those in group A,and the difference was statistically significant (P<0.05).The recovery time,agitation,nausea and vomiting and incidence rate of adverse reactions such as POD had no statistical difference between the two groups (P<0.05).Conclusion On the basis of preoperative optimization measures,selecting the "two single three low" lumbar anesthesia method in elderly patients with hip fracture surgery anesthesia has more stable hemodynamics,less complications and faster postoperative recovery.
