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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2018, Vol. 23 ›› Issue (11): 1265-1269.doi: 10.12092/j.issn.1009-2501.2018.11.011

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Comparison of the effects of general laryngeal mask anesthesia combined with iliofascial block and lumbar epidural anesthesia in elderly patients undergoing hip surgery

LU Xuewen 1, LIU Yuejiang 2   

  1. 1 Department of Anesthesiology, Zhongda Hospital Southeast University (Jiangbei), Nanjing 310044, Jiangsu, China; 2 Department of Anesthesiology, Zhongda Hospital Southeast University, Nanjing 210009, Jiangsu, China
  • Received:2018-07-02 Revised:2018-07-31 Online:2018-11-26 Published:2018-11-22

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Abstract:

AIM: To compare the effects of general laryngeal maskanesthesia combined with iliofascial block（GLB）and combined spinal-epidural anesthesia（CSEA） in the operation of elderly patients with hip surgery. METHODS: A total of 100 elderly hip patients undergoing elective surgery admitted from January 1, 2016 to December 31, 2016 in our hospital were randomly divided into GLB group and CSEA group, with 50 cases in each group. The changes of oxygen saturation, heart rate and blood pressure were compared between the two groups before anesthesia (T0), 5 min after anesthesia (T1), during the main procedure (T2), 8 h after operation (T3), 12 h after operation (T4). VAS score after operation and the times of analgesia pump were used to observe the pain; postoperative 24 h adverse reactions (nausea and vomiting, headache, urinary retention, fever, drowsiness, delirium) occurred and patient's satisfaction were also compared between the two groups. RESULTS: There was no significant difference in oxygen saturation between the two groups during the whole process (P>0.05). There was no significant difference in heart rate and blood pressure between two groups at T0 (P>0.05), but compared with GLB group, the fluctuation amplitude of heart rate, blood pressure were significantly lower than CSEA group during T1-T4（P<0.05）, the postoperative VAS score and the times of analgesia pump used were significantly lower than CSEA group（P<0.01）, postoperative 24 h adverse reactions were also lower than CSEA group（P<0.05）, the patient's satisfaction in GLB group was higher than CSEA group（P<0.01）. CONCLUSION: Compared with lumbar epidural anesthesia, the general laryngeal mask anesthesia combined with iliofascial block can effectively improve the hemodynamics fluctuation, reduce the incidence of postoperative adverse reactions, optimize postoperative pain management and improve patients ' satisfaction in the operation of elderly patients undergoing hip surgery.

Key words: general laryngeal mask anesthesia, iliofascial block, lumbar epidural anesthesia, elderly hip surgery, patient's satisfaction

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