不同麻醉方式對老年全髖關(guān)節(jié)置換術(shù)患者康復(fù)結(jié)局的影響

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【摘 要】目的：探討不同麻醉方式對老年全髖關(guān)節(jié)置換術(shù)患者康復(fù)結(jié)局的影響。方法：選取我院收治的67例老年全髖關(guān)節(jié)置換術(shù)患者（2019.1-2021.1），選擇隨機數(shù)字表法分組模式，對照組33例患者接受全身麻醉，研究組34例患者接受腰硬聯(lián)合麻醉，比較兩組患者手術(shù)及麻醉相關(guān)指標(biāo)以及并發(fā)癥發(fā)生率。結(jié)果：兩組患者的各項手術(shù)相關(guān)指標(biāo)水平接近（P>0.05）；研究組患者各項麻醉恢復(fù)相關(guān)指標(biāo)（6.13±1.82、14.02±2.58、21.18±3.97、57.22±3.65、15.48±3.26 min）均顯著短于對照組（8.62±1.73、16.63±3.47、25.66±4.28、73.14±4.79、18.04±3.17 min）；研究組患者并發(fā)癥發(fā)生率為8.82%，顯著低于對照組的30.30%（P

【關(guān)鍵詞】全髖關(guān)節(jié)置換術(shù)；腰硬聯(lián)合麻醉；全身麻醉；并發(fā)癥

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

髖關(guān)節(jié)置換術(shù)常見于髖關(guān)節(jié)疾病治療，在股骨頸骨折、骨關(guān)節(jié)炎、股骨頭壞死方面的治療效果均已被臨床認(rèn)可，由于老年人是一類特殊群體，因此在面對此類手術(shù)時需科學(xué)選擇麻醉方式，在保證手術(shù)順利進行的基礎(chǔ)上最大限度降低并發(fā)癥發(fā)生風(fēng)險，促進麻醉恢復(fù)，保證患者自身安全[1-2]。（剩余2996字）