中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
15期
14-15,16
,共3页
全身麻醉%椎管内麻醉%股骨粗隆间骨折
全身痳醉%椎管內痳醉%股骨粗隆間骨摺
전신마취%추관내마취%고골조륭간골절
General anesthesia%Spinal canal anesthesia%Intertrochanteric fracture of femur
目的：对比分析全身麻醉与椎管内麻醉对高龄股骨粗隆间骨折患者术后恢复效果的影响。方法：选取2011年2月-2013年4月笔者所在医院收治的50例高龄股骨粗隆间骨折患者，采用随机数字表法将其分为全身麻醉组和椎管内麻醉组，各25例。对两组患者术后并发症、住院时间及下地活动时间等恢复情况进行对比分析。结果：所有患者术中骨折部位得到较好的复位与固定。椎管内麻醉组发生术后并发症3例(12.0%)，全身麻醉组术后并发症10例(40.0%)，两组比较差异有统计学意义(P<0.05)。此外椎管内麻醉组下地活动时间及住院时间明显优于全身麻醉组，差异有统计学意义(P<0.05)。结论：椎管内麻醉对患者术后恢复效果(术后并发症、下地活动所需时间及住院时间)影响优于全身麻醉组。麻醉方式对高龄股骨粗隆间骨折患者术后恢复效果有一定的影响，在采取PFNA髓内钉固定术治疗时，可优先选择椎管内麻醉方式。
目的：對比分析全身痳醉與椎管內痳醉對高齡股骨粗隆間骨摺患者術後恢複效果的影響。方法：選取2011年2月-2013年4月筆者所在醫院收治的50例高齡股骨粗隆間骨摺患者，採用隨機數字錶法將其分為全身痳醉組和椎管內痳醉組，各25例。對兩組患者術後併髮癥、住院時間及下地活動時間等恢複情況進行對比分析。結果：所有患者術中骨摺部位得到較好的複位與固定。椎管內痳醉組髮生術後併髮癥3例(12.0%)，全身痳醉組術後併髮癥10例(40.0%)，兩組比較差異有統計學意義(P<0.05)。此外椎管內痳醉組下地活動時間及住院時間明顯優于全身痳醉組，差異有統計學意義(P<0.05)。結論：椎管內痳醉對患者術後恢複效果(術後併髮癥、下地活動所需時間及住院時間)影響優于全身痳醉組。痳醉方式對高齡股骨粗隆間骨摺患者術後恢複效果有一定的影響，在採取PFNA髓內釘固定術治療時，可優先選擇椎管內痳醉方式。
목적：대비분석전신마취여추관내마취대고령고골조륭간골절환자술후회복효과적영향。방법：선취2011년2월-2013년4월필자소재의원수치적50례고령고골조륭간골절환자，채용수궤수자표법장기분위전신마취조화추관내마취조，각25례。대량조환자술후병발증、주원시간급하지활동시간등회복정황진행대비분석。결과：소유환자술중골절부위득도교호적복위여고정。추관내마취조발생술후병발증3례(12.0%)，전신마취조술후병발증10례(40.0%)，량조비교차이유통계학의의(P<0.05)。차외추관내마취조하지활동시간급주원시간명현우우전신마취조，차이유통계학의의(P<0.05)。결론：추관내마취대환자술후회복효과(술후병발증、하지활동소수시간급주원시간)영향우우전신마취조。마취방식대고령고골조륭간골절환자술후회복효과유일정적영향，재채취PFNA수내정고정술치료시，가우선선택추관내마취방식。
Objective:Comparative analysis of general anesthesia and spinal anesthesia for surgery among patients intertrochanteric fracture recovery effect of impact.Method:50 cases from February 2011 to April 2013,admitted in the hospital of intertrochanteric fracture in aged patients,using the random number table method which can be divided into general anesthesia group and spinal canal anesthesia group,25 cases each. On two groups of patients with postoperative complications,the length of time and engaged in activities such as recovery were analyzed.Result:All of the patients got good reduction and fixation of intraoperative fracture position. Spinal canal anesthesia group of postoperative complications occurred in 3 cases(12.0%),10 cases(40.0%) of postoperative complications of general anesthesia group,between the two groups there was statistically significant(P<0.05). Moreover intra-spinal canal anesthesia group was obviously better than the down time and hospital stay general anesthesia group,the difference was statistically significant(P<0.05).Conclusion:Spinal canal anesthesia for patients with postoperative recovery effect(postoperative complications,and down time needed for activities and the length of time) effect is better than that of general anesthesia group. Anesthesia on postoperative recovery of intertrochanteric fracture in aged patients effect have a certain influence,when treated with PFNA intramedullary nail fixation,give priority to choose the way to vertebral tube anesthesia.
