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全身麻醉与区域阻滞麻醉对髋部骨折患者术后转归的影响
Influence of General Anesthesia and Regional Block Anesthesia on the Prognosis of Patients Undergoing Fracture Surgery

易永红.全身麻醉与区域阻滞麻醉对髋部骨折患者术后转归的影响[J].中国烧伤创疡杂志,2021,(3):218~220.

DOI：

英文关键词:Hip fracture General anesthesia Regional block anesthesia Pain

基金项目:

作者	单位
易永红	淮滨县中医院麻醉科

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中文摘要:

【摘要】目的探讨全身麻醉与区域阻滞麻醉对髋部骨折患者术后转归的影响? 方法选取 2017年2月至2020 年2月淮滨县中医院收治的62例髋部骨折患者作为研究对象, 按照随机数表法将其随机分为GA组与RA组, 每组 31 例? GA 组采用全身麻醉, RA组采用区域阻滞麻醉, 对比两组患者术后疼痛评分?下床时间?住院时间以及并发症发生情况? 结果 RA组患者疼痛视觉模拟评分法( VAS) 评分显著低于GA组( t = 15.755, P < 0.001), 下床时间及住院时间显著短于GA组( t = 15. 756? 13.841, P 均 < 0.001), 并发症发生率显著低于GA 组( χ 2 = 5.415, P = 0.020)? 结论与全身麻醉相比, 接受区域阻滞麻醉的髋部骨折手术患者并发症发生率更低, 术后疼痛程度更轻, 下床活动时间及住院时间更短, 转归效果更佳?

英文摘要:

【Abstract】 Objective To investigate the influence of general anesthesia( GA) and regional block anesthesia( RA) on the prognosis of patients undergoing hip fracture surgery. Methods Sixty-two patients with hip fractures, admitted to Huaibin County Hospital of Traditional Chinese Medicine from February 2017 to February 2020 for fracture treatment, were selected as research subjects and divided, according to the random number table, into GA group and RA group, with 31 cases in each group. Patients in the GA group were given general anesthesia, whereas patients in the RA group received regional block anesthesia. The postoperative pain, time for postoperative first-time ambulation, hospitalization duration, and complications were compared between the two groups. Results Compared with the GA group, the VAS score in the RA group was significantly lower( t=15.755, P <0.001), the time for postoperative first-time ambulation and the hospitalization duration were significantly shorter( t=15.756 and 13.841, both P <0.001), and the incidence of complications was much lower( χ2=5.415, P=0.020). Conclusion In contrast with the general anesthesia, patients received regional block anesthesia for hip fracture surgery have a lower incidence of complications, less pain after the surgery, and shorter time for postoperative first-time ambulation and hospitalization duration, and thus the prognosis is much better.