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老年人髋部骨折手术中麻醉技术的短期并发症

Short-term complications of anesthetic technique used in hip fracture surgery in elderly people.

作者信息

Norouzi Afsaneh, Behrouzibakhsh Fozhan, Kamali Alireza, Yazdi Bijan, Ghaffari Babak

机构信息

Department of Anesthesiology, Arak University of Medical Sciences, Arak.

Arak University of Medical Sciences, Arak.

出版信息

Eur J Transl Myol. 2018 Aug 9;28(3):7355. doi: 10.4081/ejtm.2018.7355. eCollection 2018 Jul 10.

Abstract

Postoperative complications of fracture are one of the main problems in older patients with hip fracture. In this study, complications were observed 48 hours after surgery in different anesthetic procedures. This prospective cross sectional study was carried out over a 12-month period. All subjects over 55 years of age undergoing hip fracture surgery were selected for study with ASA class (American Society of Anesthesiology: one, two and three). After determining the vital signs in the operating room, anesthesia type (general, spinal and epidural) and various variables were recorded. It was observed that the spinal anesthesia method had the lowest level of postoperative disturbances of consciousness and had the shortest duration in terms of duration of time. On the other hand, general anesthesia was the least in terms of blood transfusion. Finally, epidural anesthetic method showed the least amount of pain 48 hours after operation and the least changes in blood pressure and heart rate.

摘要

骨折术后并发症是老年髋部骨折患者的主要问题之一。在本研究中,于术后48小时观察不同麻醉方式下的并发症情况。这项前瞻性横断面研究历时12个月。选取所有年龄超过55岁、接受髋部骨折手术且ASA分级(美国麻醉医师协会分级:一级、二级和三级)的患者进行研究。在手术室测定生命体征后,记录麻醉类型(全身麻醉、脊髓麻醉和硬膜外麻醉)及各种变量。结果发现,脊髓麻醉方法导致的术后意识障碍程度最低,且在持续时间方面最短。另一方面,全身麻醉在输血方面最少。最后,硬膜外麻醉方法在术后48小时疼痛程度最低,血压和心率变化最小。

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