不同麻醉方式对老年全髋关节置换术患者康复结局的影响

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【摘 要】目的：探讨不同麻醉方式对老年全髋关节置换术患者康复结局的影响。方法：选取我院收治的67例老年全髋关节置换术患者（2019.1-2021.1），选择随机数字表法分组模式，对照组33例患者接受全身麻醉，研究组34例患者接受腰硬联合麻醉，比较两组患者手术及麻醉相关指标以及并发症发生率。结果：两组患者的各项手术相关指标水平接近（P>0.05）；研究组患者各项麻醉恢复相关指标（6.13±1.82、14.02±2.58、21.18±3.97、57.22±3.65、15.48±3.26 min）均显著短于对照组（8.62±1.73、16.63±3.47、25.66±4.28、73.14±4.79、18.04±3.17 min）；研究组患者并发症发生率为8.82%，显著低于对照组的30.30%（P

【关键词】全髋关节置换术；腰硬联合麻醉；全身麻醉；并发症

The influence of different anesthesia methods on the rehabilitation outcome of elderly patients undergoing total hip arthroplasty

ZHANG Yiying， GONG Xiao-wen

Baotou Third Hospital， Baotou， Inner Mongolia 014040， China

【Abstract】Objective： To investigate the influence of different anesthesia methods on the rehabilitation outcome of elderly patients undergoing total hip replacement. Methods： 67 elderly patients undergoing total hip arthroplasty （2019.1-2021.1） in our hospital were selected， and the random number table grouping model was selected. 33 patients in the control group received general anesthesia， and 34 patients in the study group received combined spinal-epidural anesthesia. The related indexes of surgery and anesthesia and the incidence of complications were compared between the two groups. Results： The levels of various surgical-related indexes of the two groups of patients were close （P>0.05）； the various indexes related to anesthesia recovery of the study group （6.13±1.82， 14.02±2.58， 21.18±3.97， 57.22±3.65， 15.48±3.26 min） were all significantly shorter than the control group （8.62±1.73， 16.63±3.47， 25.66±4.28， 73.14±4.79， 18.04±3.17 min）； the complication rate of the study group was 8.82%， which was significantly lower than the control group’s 30.30%（P

【Key？Words】total hip replacement； combined spinal-epidural anesthesia； general anesthesia； complications

髋关节置换术常见于髋关节疾病治疗，在股骨颈骨折、骨关节炎、股骨头坏死方面的治疗效果均已被临床认可，由于老年人是一类特殊群体，因此在面对此类手术时需科学选择麻醉方式，在保证手术顺利进行的基础上最大限度降低并发症发生风险，促进麻醉恢复，保证患者自身安全[1-2]。（剩余2996字）