喉罩通气全麻用于老年股骨颈骨折内固定术中的镇痛效果研究

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Abstract Objective To investigate the analgesic effects of general anesthesia of laryngeal mask airway and combined spinal-epidural anesthesia (CSEA) in senile femoral neck fracture with internal fixation. Methods A total of 80 senile femoral neck fracture patients with internal fixation in the hospital from January 2015 to May 2018 were selected, and they were divided into control group and observation group by random number table method, with 40 cases in each group. Control group was given CSEA, while observation group was given general anesthesia of laryngeal mask airway. The preoperative and postoperative 6 h pain of two groups were evaluated by visual analogue scale (VAS); the heart rate (HR), oxygen saturation (SpO2), mean arterial pressure (MAP) of two groups before anesthesia, after anesthesia for 5 min, during internal fixation, after operation were detected. The anesthetic effects and adverse complications in the two groups were observed. Results There was no statistical difference in the VAS score between the two groups before anesthesia (P ＞ 0.05). After anesthesia for 6 h, the VAS score of the two groups decreded, and the VAS score of the observation group was lower than that of control group (P ＜ 0.05). There was no statistical difference in the HR, SpO2, MAP levels between the two groups before anesthesia (P ＞ 0.05). After anesthesia for 5 min, the HR and MAP of the observation group decreased compared with those before anesthesia, and they gradually recovered to the level before anesthesia. There was statistical difference in the HR and MAP levels after anesthesia for 5 min, during internal fixation, after operation (P ＜ 0.05). The total excellent and good rate of anesthesia in the observation group was higher than that in the control group, and the total incidence of complications was lower than that in the control group, with statistically significant differences (P ＜ 0.05). Conclusion The effect of general anesthesia of laryngeal mask airway in senile femoral neck fracture with internal fixation is better than that of CSEA, it can achieve stable vital signs, good analgesic effects and low incidence of complications, which is worthy of clinical promotion and application.

Key words： Femoral neck fracture Senile General anesthesia of laryngeal mask airway Combined spinal-epidural anesthesia Analgesic effects

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	LI Shufen1 XIA Zhongyuan1 XIAO Hang2

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LI Shufen1 XIA Zhongyuan1 XIAO Hang2. Study on analgesic effects of general anesthesia of laryngeal mask airway in senile femoral neck fracture with internal fixation[J]. 中国医药导报, 2019, 16(13): 116-119.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I13/116

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