Effects of nerve block anesthesia versus general anesthesia on intertrochanteric fractures in the elderly
10.3760/cma.j.issn.0254-9026.2018.12.013
- VernacularTitle:神经阻滞和全身麻醉对老年股骨转子间骨折患者的影响
- Author:
Shushan ZHAO
1
;
Zhaohui LI
;
Zhe RUAN
;
Zhangyuan LIN
;
Haitao LONG
;
Ruibo ZHAO
;
Zhengrong ZHU
;
Bangbao LU
;
Buhua SUN
;
Liang CHENG
;
Jianxi ZHU
;
Zhaohui TANG
;
Yong ZHU
Author Information
1. 中南大学湘雅医院骨科
- Keywords:
Nerve block anesthesia;
General anesthesia;
Intertrochanteric fractures;
Hemodynamics
- From:
Chinese Journal of Geriatrics
2018;37(12):1348-1351
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze the effects of nerve block anesthesia versus general anesthesia on intertrochanteric fracture in the elderly. Methods The 104 elderly inpatients undergoing closed reduction and intramedullary nailing for the treatment of femoral intertrochanteric fractures were recruited into this study at Department of Orthopedics ,Xiangya Hospital ,Central South University from January 2015 to June 2017.Medical records were collected and analyzed by SPSS 16.0 or GraphPad Prism 6.0 software. Results A total of 104 patients were divided into general anesthesia group(n= 48 )and nerve block anesthesia group (n= 56 ). There was no statistical difference in the demographic characteristics between the two groups. The changes in heart rate ,maximum changes of systolic/diastolic blood pressures ,and infusion volume during surgery were lower in the nerve block anesthesia group than in the general anesthesia group [(12.7 ± 7.3)vs. (18.1 ± 7.8)beats/min ,(22.5 ± 8.8/12.2 ± 7.5)mmHg vs. (34.3 ± 7.9/21.6 ± 6.6)mmHg ,(792.9 ± 387.0)ml vs. (1 083.0 ± 445.5)ml ,respectively ,t=3.64 ,7.14 ,6.73 ,5.16 ,all P＜0.01]. There was no statistically significant difference between two groups in other perioperative data and the number of deaths at three months and one year after surgery. Conclusions As compared with the general anesthesia ,the nerve block anesthesia has less effects on the heart rate ,less maximum changes of systolic and diastolic blood pressures ,and less infusion volume during surgery ,and has no significant increase in postoperative mortality ,which is safe and worthy of further promotion.
