韩兴忠曲靖市第一人民医院麻醉科，云南曲靖　655000

腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术的麻醉观察

韩兴忠
曲靖市第一人民医院麻醉科，云南曲靖655000

目的 探讨腰硬联合麻醉和全身麻醉在老年患者股骨颈骨折手术中麻醉应用效果。方法 方便选取2014年11月—2016年2月该院收治的90例老年患者行股骨颈骨折术作为研究对象，按照患者入院顺序将其分成治疗组和对照组，各45例。其中对照组患者采取全身麻醉，治疗组患者采用腰硬联合麻醉，比较两组患者麻醉效果及不良反应发生率。结果 治疗组患者镇痛效果总有效率为95.6%，对照组患者镇痛效果总有效率为91.1%，差异无统计学意义（P＞0.05）。治疗组患者不良反应发生率为8.9%明显低于对照组患者的15.6%，差异具有统计学意义（P＜0.05）。结论 腰硬联合麻醉和全身麻醉在股骨颈骨折术中均具有较好的镇痛效果，但腰硬联合麻醉不良反应发生率低。

腰硬联合麻醉；全身麻醉；老年患者；股骨颈骨折；麻醉效果

［Abstract］Objective To explore the waist hard joint anesthesia and general anesthesia in elderly patients with femoral neck fracture surgery anesthesia effect.Methods Convenient select in November 2014—February 2014，our hospital 90 cases of elderly patients with femoral neck fracture surgery as the research object，in patients admitted to hospital order will be divided into the treatment group and control group，45 cases each.The control group patients to take general anesthesia，treatment group were treated by waist hard joint anesthesia，compared two groups of patients anesthesia effects，and the incidence of adverse reactions.Results The analgesic effect of the total effective rate was 95.6%in treatment group patients，control group patients with analgesic effect of the total effective rate was 91.1%，there was no statistically significant difference（P＞0.05）.The incidence of adverse reactions was 8.9%in treatment group patients significantly lower than the control group 15.6%of the patients，statistically significant difference（P＜0.05）.Conclusion The waist hard joint anesthesia and general anesthesia in femoral neck fracture surgery has a better analgesic effect，but the incidence of adverse reactions of low waist hard joint anesthesia.

［Key words］Combined spinal epidural anesthesia；General anesthesia；Elderly patients；Femoral neck fracture；Anesthetic effect

股骨颈骨折是临床上较为常见的骨折类型，且多见于老年人群。主要原因在于老年人身体素质下降，且各项器官功能较为脆弱，在麻醉的过程中具有一定的风险［1］。临床上对于老年患者行股骨颈骨折术中主要采取全身麻醉、腰硬联合麻醉方式，但麻醉在使用的过程中除了满足手术的需要，也必须保证患者的生命安全。因此，该文方便选取2014年11月—2016年2月该院收治的90例老年患者行股骨颈骨折术作为研究对象，按照患者入院顺序将其分成治疗组和对照组，各45例。……