CAJ | 학술논문

目的观察静吸复合全麻和椎管内麻醉下老年下肢骨科手术术后肺部感染的情况。方法整群选取2013年8月-2015年3月间该院共收治需要做下肢骨科手术的高龄患者230例，随机分为观察组和对照组各115例，观察组采用椎管内麻醉、对照组采用静吸复合全麻方式麻醉下行下肢骨科手术，观察两组患者的术后肺部感染情况。结果对照组115例采用静吸复合全麻方式麻醉，术后肺部感染25例，感染率为21.7%，观察组115例采用椎管内麻醉，术后术后肺部感染9例，感染率为7.8%，观察组术后肺部感染率（21.7%）明显低于对照组（7.8%）（P<0.05）。结论采用椎管内麻醉后进行下肢骨科手术能更有效预防肺部感染，术后康复快，适于在高龄患者中使用。
목적관찰정흡복합전마화추관내마취하노년하지골과수술술후폐부감염적정황。방법정군선취2013년8월-2015년3월간해원공수치수요주하지골과수술적고령환자230례，수궤분위관찰조화대조조각115례，관찰조채용추관내마취、대조조채용정흡복합전마방식마취하행하지골과수술，관찰량조환자적술후폐부감염정황。결과대조조115례채용정흡복합전마방식마취，술후폐부감염25례，감염솔위21.7%，관찰조115례채용추관내마취，술후술후폐부감염9례，감염솔위7.8%，관찰조술후폐부감염솔（21.7%）명현저우대조조（7.8%）（P<0.05）。결론채용추관내마취후진행하지골과수술능경유효예방폐부감염，술후강복쾌，괄우재고령환자중사용。
Objective To observe the effect of intravenous-inhalation general anesthesia and spinal anesthesia on pulmonary infec-tion in elderly patients undergoing lower-limb orthopedic operation. Methods 230 elderly patients admitted in our hospital during August 2013 and March 2015 who needed lower-limb orthopedic operation were randomly divided into observation group and con-trol group with 115 in each group, respectively given spinal anesthesia and intravenous-inhalation general anesthesia during oper-ation. The situations of postoperative pulmonary infections of the two groups were observed. Results In terms of postoperative pul-monary infections, the number and occurring rate of the control groups were 25 and 21.7%, significant higher than those of the ob-servation group, 9 and 7.8%, and the differences were statistically significant (P<0.05). Conclusion Spinal anesthesia is suitable for elderly patients in the lower-limb orthopedic operation because of its effective control of pulmonary infection which can lead to quick recovery.