中国医学创新2026，Vol.23Issue(21)：5-10,6.DOI:10.3969/j.issn.1674-4985.2026.21.002
喉罩浅全麻联合臂丛神经阻滞对老年上肢骨折手术患者术后疼痛、睡眠及认知功能的影响
The Influence of Laryngeal Mask Shallow General Anesthesia Combined with Brachial Plexus Nerve Block on Postoperative Pain,Sleep and Cognitive Function in Elderly Patients Undergoing Upper Fracture Limb Surgery
摘要
Abstract
Objective:To explore the effects of laryngeal mask shallow general anesthesia combined with brachial plexus nerve block on postoperative pain,sleep and cognitive function in elderly patients undergoing upper fracture limb surgery,and to provide clinical reference for the selection of anesthesia in upper limb fracture surgery in elderly patients.Method:A total of 120 elderly patients who underwent upper limb fracture surgery in Lianzhou People's Hospital from April 2023 to December 2025 were selected and randomly divided into the control group(n=60)and the observation group(n=60)by the random number table method.The control group was given simple brachial plexus nerve block,while the observation group was given laryngeal mask shallow general anesthesia combined with brachial plexus nerve block.The postoperative pain indicators and sleep quality[Richards-Campbell sleep questionnaire(RCSQ)score],cognitive function[mini-mental state examination(MMSE)score],levels of serum inflammatory factors(IL-6,TNF-α,CRP),and incidence of perioperative adverse reactions of the two groups were compared.Result:In this study,2 cases in the control group were excluded due to changes in the anesthesia method.Eventually,there were 58 cases in the control group and 60 cases in the observation group.At 6,12,24 and 48 hours after the operation,the VAS scores of the observation group were significantly lower than those of the control group(P<0.05).The occurrence time of the VAS score>4 points after surgery in the observation group was later than that in the control group,the number of patient controlled analgesia(PCA)compressions and the number of remedial analgesia within 48 hours after surgery in the observation group were both less than those in the control group(P<0.05).At 1,2 days after the operation,the RCSQ and MMSE scores of the observation group were higher than those of the control group,and the levels of serum IL-6,TNF-α and CRP were lower than those of the control group(P<0.05).There was no statistically significant difference in the incidence of perioperative adverse reactions between the two groups(P>0.05).Conclusion:The application of laryngeal mask shallow general anesthesia and brachial plexus nerve block in elderly patients undergoing upper limb fracture surgery can significantly alleviate postoperative pain,improve postoperative sleep quality and cognitive function,inhibit postoperative inflammatory responses,and does not increase the risk of perioperative adverse reactions,it is highly safe and effective.关键词
喉罩浅全麻/神经阻滞/疼痛/睡眠/认知功能Key words
Laryngeal mask shallow general anesthesia/Nerve block/Pain/Sleep/Cognitive function分类
医药卫生引用本文复制引用
邓建华,李念红,冯卫荣,黄文斌..喉罩浅全麻联合臂丛神经阻滞对老年上肢骨折手术患者术后疼痛、睡眠及认知功能的影响[J].中国医学创新,2026,23(21):5-10,6.基金项目
清远市2022年科技计划项目(221109117680823) （221109117680823）
