【摘要】 目的:探讨腰丛-坐骨神经联合阻滞麻醉在老年股骨上段骨折患者中的应用效果。方法:选取100例老年股骨上段骨折患者,随机分为观察组(n=50例)与对照组(n=50例)。观察组患者实施腰丛-坐骨神经联合阻滞麻醉,对照组患者实施常规硬膜外麻醉,比较两组患者麻醉效果、感觉神经和运动神经阻滞情况及不良反应的差异。结果:观察组患者麻醉优良率94.0%,高于对照组的78.0%(P<0.05),感觉神经阻滞维持时间长于对照组(P<0.05),运动神经阻滞维持时间短于对照组(P<0.05),不良反应发生率4.0%,低于对照组16.0%(P<0.05)。结论:腰丛-坐骨神经联合阻滞麻醉在老年股骨上段骨折患者中的应用效果较好,有利于改善患者预后,安全性高。更多还原

【Abstract】 Objective:To explore the application effect of combined lumbar plexus-schial nerve block anesthesia in elderly patients with upper femoral fracture. Methods: 100 elderly patients with upper femoral fracture were randomly divided into observation group(n=50) and control group(n=50). Patients in the observation group underwent combined lumbar plexus-schial nerve block anesthesia, and those in the control group underwent routine epidural anesthesia. The differences of anesthetic effect, sensory nerve and motor nerve block and adverse reaction between the two groups were compared. Results: The excellent and good rate of anesthesia in the observation group was 94.0%, higher than that of 78.0% in the control group(P<0.05). The duration of sensory nerve block was longer than that in the control group(P<0.05). Motor nerve block maintenance time was lower than that of the control group(P<0.05). The adverse reaction rate was 4.0%, lower than 16.0% of the control group(P<0.05). Conclusion: The application of lumbar plexus-schial nerve block anesthesia in the elderly patients with upper femoral fracture had good effect, which is beneficial to the improvement of the patient’s prognosis and high safety.更多还原