Clinical Effect of Nerve Block Combined with Tracheal Intubation General Anesthesia in Elderly Patients Undergoing Hip Surgery

  • Chong Liu
Keywords: Old age; Hip surgery; Nerve block; General anesthesia with tracheal intubation

Abstract

To explore the clinical effect of nerve block combined with tracheal intubation general anesthesia in elderly
patients undergoing hip surgery. The changes of heart rate (HR), diastolic blood pressure (DBP), systolic blood
pressure (SBP) before induction of anesthesia (T0), after loss of consciousness (T1), immediately after
endotracheal intubation (T2), 2 minutes after endotracheal intubation (T3), and at extubation (T4), pain scores at
6, 12 and 24 hours after operation, and the incidence of complications were observed. The results of repeated
measurement variance analysis showed that there were significant differences between groups with time factor
as the main effect and group factor as the main effect (P < 0.05). The levels of HR, DBP and SBP in the study
group were not significantly different from those in the control group (P > 0.05), while the levels of HR, DBP
and SBP in the control group were significantly different (P < 0.05). There was no significant difference in
hemodynamic parameters at T0 and T1 between the two groups (P > 0.05). HR, DBP and SBP levels at T2-T4
in the study group were lower than those in the control group (P < 0.05). The results of repeated measurements
of variance analysis showed that there were significant differences in VAS scores between groups with time
factor as the main factor and group factor as the main factor (P < 0.05). The VAS scores of the study group at 6,
12 and 24 hours after operation were significantly lower than those of the control group (P < 0.05). The
incidence of complications in the study group was significantly lower than that in the control group (P < 0.05).
The application of nerve block combined with tracheal intubation general anesthesia in elderly patients
undergoing hip surgery is beneficial to maintaining stable hemodynamics, alleviating early postoperative pain
and reducing complications, so it has certain clinical application value.

Published
2020-05-01