老年髋关节置换手术应用超声引导下神经阻滞复合喉罩全身麻醉对麻醉和术后镇痛效应的影响分析

【摘要】 目的:探究老年髋关节置换手术应用超声引导下神经阻滞复合喉罩全身麻醉对麻醉和术后镇痛效应的影响。方法:选取我院2015年1月-2016年6月进行髋关节置换手术患者80例,通过随机分组法分为观察组和对照组,每一组40人。对照组患者麻醉方法为气管插管静脉吸入复合全身麻醉,观察组为超声引导下神经阻滞复合喉罩全身麻醉。针对血管活性药物、芬太尼使用总量及术后疼痛评分情况,对两组患者进行对比分析。结果:在血管活性药物使用剂量方面,观察组术中硝酸异山梨酯注射液(爱倍)使用剂量显著低于对照组(P<0.05);针对芬太尼使用情况,观察组芬太尼使用总量明显低于对照组(P<0.05);在疼痛评分方面,观察组患者术后2、8、24小时疼痛评分均显著低于对照组(P<0.05)。结论:老年髋关节置换手术应用超声引导下神经阻滞复合喉罩全身麻醉对麻醉和术后镇痛效应的影响十分显著,在减少麻醉药物和血管活性药物使用剂量的同时,能够显著提高镇痛效果,有利于促进患者疾病快速恢复,应在临床大力推广应用。更多还原

【Abstract】 Objective: To explore the effects of general anesthesia with anesthesia and postoperative analgesia in elderly patients undergoing total hip arthroplasty with ultrasound-guided combined laryngeal mask airway. Methods: Eighty patients underwent hip arthroplasty in our hospital from January, 2015 to June, 2016. The patients were divided into observation group and control group by random grouping. In the control group, the patients were anesthetized by endotracheal intubation combined with general anesthesia, and the observation group was under general anesthesia with ultrasound-guided nerve block combined with laryngeal mask airway. The vasoactive drugs, total use of fentanyl and postoperative pain score were compared between the two groups of patients. Results: In the dosage of vasoactive drugs, the dose of isosorbide dinitrate injection in the observation group was significantly lower than that of the control group(P <0.05). For the use of fentanyl, the total amount of fentanyl used in the observation group was significantly lower than the control group(P <0.05). In the pain score, the pain scores of the observation group were significantly lower than those of the control group(P <0.05) at 2, 8 and 24 hours after operation. Conclusion: The effect of general anesthesia with nerve-block combined with laryngeal mask on the anesthesia and postoperative analgesia of elderly patients undergoing hip arthroplasty is very significant. It can significantly increase the analgesic effect of narcotic drugs and vasoactive drugs at the same time. The effect is conducive to the rapid recovery of patients with disease, should be widely applied in clinical practice.更多还原