Hypobaric spinal anesthesia combined epidural block compared with general anesthe-sia on cardiac and pulmonary function in elderly cases of femoral neck fracture
GUO Chao
LIU Xin-wei
ZHANG Jing-dong
ZHANG Xu-teng
HAN Wen-feng
Abstract：Objective To analyze and discuss the effect of cardiopulmonary function of patients with senile femoral neck fracture who underwent hip arthroplasty using hypobaric spinal anesthesia combined with epidural block and general anes-thesia. Methods A retrospective study was performed on 120 patients with senile femoral neck fracture who underwent hip arthroplasty from February 2015 to February 2016. Patients were divided into Group A and Group B according to different anesthesia methods,with 60 cases in each group. Patients in Group A were performed hypobaric spinal anesthesia combined with epidural block,and the others in Group B were performed general anesthesia. The cardiopulmonary function changes of patients during the surgery were observed and the anesthesia effects were compared the two groups. Results The incidence of hypertension,bradycardia and anoxia in Group A were significantly lower than those in Group B,and the difference was statistically significant(P<0. 05);the incidence of hypotension between the two groups has no statistically significant differ-ence(P>0. 05). The anesthesia onset time of Group A was significantly shorter than that of Group B,and the difference was statistically significant(P<0. 05);the postoperative analgesic effects in VAS scores,in total good rate and in total satisfac-tion rate of muscle relaxation had no statistically significant difference(P>0. 05). Conclusion Both of hypobaric spinal anesthesia combined spinal epidural and general anesthesia have good effect,and both of them can achieve a standard anal-gesic effect. Furthermore,due to the impact of cardiopulmonary function in hypobaric spinal anesthesia combined with epi-dural block is less than general anesthesia,we should priority use hypobaric spinal anesthesia combined with epidural block in perioperative hip arthroplasty.
Keywords：Femoral neck fracture in the elderlyHypobaric spinal anesthesiaEpidural blockGeneral anesthesiaCardio-pulmonary function
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 49-53 )