IJCEMR

Article http://dx.doi.org/10.26855/ijcemr.2023.10.034

Effects of Different Anesthesia Methods on Heart Rate and Oxygen Saturation After Hip Surgery

TOTAL VIEWS: 694

Hui Ding*, Ziyu Zhao

Department of Anesthesiology, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.

*Corresponding author:  Hui Ding

Published: November 30,2023

Abstract

Objective: To investigate the effect of different anesthesia methods on heart rate and oxygen saturation after hip joint surgery. Methods: A retrospective analysis was conducted on the clinical data of 60 patients undergoing hip joint surgery in our hospital from February 2018 to February 2020. According to anesthesia and analgesic methods, they were divided into two groups: the continuous analgesia group guided by B-ultrasound and the continuous analgesia group with iliac fascia tube insertion, and the tracheal intubation general an-esthesia combined with intravenous self-control analgesia group (self-control analgesia group), with 30 patients in each group. The anesthesia effects of the two groups were statistically analyzed Analgesic effect, vital signs, stress reactions, and occurrence of adverse reactions. Results: The excellent and good anesthesia rate of patients in the continuous analgesia group was 96.67% (29/30), which was higher than 76.67% (23/30) in the patient-controlled analgesia group (χ2=5.192, P<0.05). At 2 hours, 12 hours, 1 day, and 2 days after surgery, the visual analogue scale (VAS) scores of patients in the continuous analgesia group were lower than those in the self-control analgesia group (P<0.05). T1, T2, T3, T4, diastolic blood pressure (DBP), systolic blood pressure (SBP), heart rate (HR), oxygen saturation (SaO2) in the continuous analgesia group were higher than those in the patient-controlled anal-gesia group (P<0.05). T1, T2, T3, T4, the cortisol (Cor), interleukin-6 (IL-6), and blood glucose levels in the continuous analgesia group were lower than those in the self-control analgesia group on average (P<0.05). The incidence of adverse reactions in the continuous analgesia group was 6.67% (2/30), lower than the 30.00% (9/30) in the patient-controlled analgesia group (χ2=5.455, P<0.05). Conclusion: The continuous analgesia value of lumbar plexus sciatic nerve block combined with iliac fascia catheterization under B-ultrasound guidance during hip joint surgery is higher than that of tracheal intubation general anesthesia combined with intravenous patient-controlled analgesia, and it can more stabilize the postoperative heart rate and oxygen saturation of patients.

References

[1] Huang Liping, Xiong Junwei. Anesthetic effect of lumbar plexus sciatic nerve block guided by ultrasound in elderly patients undergoing semi-hip arthroplasty [J]. Medical Equipment, 2020, 33 (21): 73-74.

[2] Jing Ningbo, Luo Yuan. Effects of B-ultrasound guided lumbar plexus composite sciatic nerve block anesthesia on hemodynamics and stress response in elderly patients undergoing hip replacement [J]. Clinical Medical Research and Practice, 2020, 5 (29): 110-112.

[3] Gui Jianghua, Deng Jianping, Luo Heguo, et al. Study on the anesthesia effect of lumbar plexus sciatic nerve block guided by ultrasound in elderly hip replacement surgery [J]. Contemporary Medicine, 2019, 25 (18): 96-98.

[4] Li Qiaoyun, Zhang Haihua, Xu Fusheng, et al. The effect of lumbar plexus sciatic nerve block combined with laryngeal mask anesthesia on hemodynamics and postoperative cognitive function in elderly patients undergoing total hip arthroplasty [J]. Modern Biomedical Progress, 2021, 21 (5): 885-888.

[5] Zhao Cuiying, Wang Tao, Zhao Xin. Analysis of the application effect of laryngeal mask anesthesia combined with lumbar plexus sciatic nerve block in elderly total hip arthroplasty [J]. Sichuan Journal of Physiological Sciences, 2021, 43 (5): 763-765.

[6] Du Jin, Chen Hua, Lu Wenbo, et al. Clinical observation of ultrasound-guided nerve block combined with continuous epidural anesthesia for elderly total hip arthroplasty [J]. Zhejiang Trauma Surgery, 2021, 26 (4): 761-763.

How to cite this paper

Effects of Different Anesthesia Methods on Heart Rate and Oxygen Saturation After Hip Surgery

How to cite this paper: Hui Ding, Ziyu Zhao. (2023) Effects of Different Anesthesia Methods on Heart Rate and Oxygen Saturation After Hip SurgeryInternational Journal of Clinical and Experimental Medicine Research7(4), 706-711.

DOI: http://dx.doi.org/10.26855/ijcemr.2023.10.034