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目的 分析超声引导下腰骶丛神经阻滞联合全麻在高龄髋部骨折手术中的应用效果.方法 选取2016年1月-2017年1月黄河三门峡医院收治的60例髋部骨折患者,根据麻醉方式分为观察组(30例)和参照组(30例),两组均进行喉罩通气,参照组给予静脉麻醉,而观察组则是在超声引导下实施腰丛、骶丛神经阻滞后行无肌松静脉麻醉方式,对两组的麻醉情况进行分析.结果 观察组的舒芬太尼用量、PCA药物用量、术后拔管时间以及住院时间均少于参照组(P＜0.05);VAS评分中显示观察组术后的2、4、8、24h的分值低于参照组(P＜0.05);且术后观察组的认知功能障碍(POCD)术后谵妄的发生率(POD)发生率低于参照组(P＜0.05).结论 与全麻相比较,超声引导下腰骶丛神经阻滞联合全麻在高龄髋部骨折手术的临床应用价值高,值得推广.“,”Objective To analyze the application of ultrasonic guidance to lower lumbar sacral plexus nerve block in advanced hip fracture surgery.Methods From January 2016 to January 2016,our hospital of 60 patients with hip fracture as the research object,according to the way of anesthesia were divided into observation group (30 cases) and control group (30 cases),both groups of laryngeal mask airway,a control group to give intravenous anesthesia,and the observation group is under ultrasound guided lumbar plexus and sacral plexus nerve block without muscle relaxant after intravenous anesthesia,anesthesia situation analysis of two groups.R~ults The study group~ dosage,the dosage of PCA,the duration of postoperative administration and the length of hospital stay were less than the reference group,P ＜ 0.05.The VAS scores showed that the scores of 2,4,8 and 24h were below the reference group,P ＜ 0.05;The incidence of POCD/POD in the observation group was lower than the reference group,P ＜ 0.05.Conclusion Compared with the total hemp,the clinical application of ultrasonic guidance of lower lumbar sacral plexus nerve block in advanced hip fracture surgery is worth promoting.