摘要
Abstract
Objective:To observe the efficacy and safety of continuous epidural anesthesia and subarachnoid block in advanced age elderly patients undergoing surgery for lower extremity fracture.Method:Eighty advanced age elderly patients with lower extremity fracture treated in Zheng'an County People's Hospital from January 2022 to December 2023 were selected as the study objects.They were randomly divided into control group and observation group,40 cases in each group.The control group was given continuous epidural anesthesia,and the observation group was given subarachnoid block.The vital signs at entering the room and 10 minutes after anesthesia,perioperative indexes,pain degree 3 h and 6 h after surgery,adverse reactions and cognitive function were compared between the two groups.Result:After 10 min of anesthesia,the systolic blood pressure,diastolic blood pressure and heart rate of the observation group were better than those of the control group,the differences were statistically significant(P＜0.05).The effective time of anesthesia in the observation group was shorter than that in the control group,the difference was statistically significant(P＜0.05).Visual analogue scale(VAS)scores of the observation group were lower than those of the control group at 3 h and 6 h after surgery,and the differences were statistically significant(P＜0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P＜0.05).The scores of mini-mental state examination(MMSE)in the observation group were higher than those in the control group at 3 h and 6 h after surgery,and the differences were statistically significant(P＜0.05).Conclusion:The application of subarachnoid block anesthesia in elderly patients undergoing lower limb fracture surgery has a shorter onset time,smaller fluctuations in the circulatory system,is safe and effective,and lower postoperative pain scores.关键词
连续硬膜外麻醉/蛛网膜下腔阻滞/高龄老年患者/下肢骨折手术/有效性/安全性Key words
Continuous epidural anesthesia/Subarachnoid block/Advanced age elderly patients/Lower limb fracture surgery/Validity/Security
