摘要
目的 分析讨论老年髋关节置换术中采用腹股沟上髂筋膜阻滞麻醉的价值效果。方法 选择我院2023年1月-2024年6月所接收的80例老年髋关节置换术患者为研究对象，平均分为观察组（腹股沟上髂筋膜阻滞麻醉）与对照组（腰丛阻滞麻醉），比较两组不同时间点平均动脉压水平变化情况、N-端脑利钠肽前体水平变化情况与心率。结果 1.观察组t2平均动脉压水平（83.68±4.54mmHg）低于对照组，t3、t4（81.25±4.69mmHg，85.54±4.26mmHg）高于对照组（P<0.05）；2.两组t0、t4平均动脉压水平比较无差异（p>0.05），观察组t1、t2、t3N-端脑利钠肽前体水平（384.62±43.27ng/L，302.51±47.89ng/L，270.21±34.79ng/L）均低于对照组（P<0.05）；3.两组t0与t3、t4心率水平比较无差异（p>0.05），t1与t2心率（87.03±3.56次/min，76.29±4.52次/min）高于对照组（P<0.05）。结论 腹股沟上髂筋膜阻滞麻醉对老年髋关节置换术实施的效果明显，值得广泛推广与应用。
关键词： 老年；髋关节置换术；腹股沟上髂筋膜阻滞麻醉；价值
Abstract
Objective To analyze and discuss the value and effectiveness of using inguinal superior iliac fascia block anesthesia in elderly hip replacement surgery. Methods 80 elderly patients undergoing hip replacement surgery admitted to our hospital from January 2023 to June 2024 were selected as the research subjects. They were evenly divided into an observation group (inguinal superior iliac fascia block anesthesia) and a control group (lumbar plexus block anesthesia). The changes in average arterial pressure levels, N-terminal pronatriuretic peptide levels, and heart rate were compared between the two groups at different time points. Results 1. The average arterial pressure level of observation group t2 (83.68 ± 4.54mmHg) was lower than that of the control group, while t3 and t4 (81.25 ± 4.69mmHg, 85.54 ± 4.26mmHg) were higher than those of the control group (P<0.05); 2. There was no significant difference in the average arterial pressure levels between the two groups at t0 and t4 (p>0.05). The levels of N-terminal pro brain natriuretic peptide in the observation group at t1, t2, and t3 (384.62 ± 43.27ng/L, 302.51 ± 47.89ng/L, 270.21 ± 34.79ng/L) were lower than those in the control group (P<0.05); 3. There was no significant difference in heart rate levels between the two groups at t0, t3, and t4 (p>0.05), while the heart rates at t1 and t2 (87.03 ± 3.56 beats/min, 76.29 ± 4.52 beats/min) were higher than those in the control group (P<0.05). Conclusion Upper inguinal iliac fascia block anesthesia has a significant effect on the implementation of hip replacement surgery in elderly patients and is worthy of wide promotion and application.
Key words： Elderly; Hip replacement surgery; Superior inguinal iliac fascia block anesthesia; Value
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