下肢骨折手术中全身麻醉与椎管内麻醉的比较:前瞻性研究

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01
Xu Wang, Jialin Sun, Shuai Kang, Daqing Pei
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引用次数: 0

摘要

目的:本研究旨在评估下肢骨折手术中全身麻醉与椎管内麻醉的效果:本研究旨在评估全身麻醉与椎管内麻醉在下肢骨折手术中的效果:2018年1月至2022年8月期间,研究者所在医院招募并随机抽取了433名接受下肢骨折手术的患者。研究人群分为两组。A组(n=220)在手术中接受全身麻醉;B组(n=213)接受椎管内麻醉。对麻醉时间、手术时间、住院时间以及血红蛋白(Hb)、血清谷氨酸丙酮酸转氨酶(SGPT)、血尿素氮(BUN)、肌酐(Cr)等实验室指标进行了记录和分析。同时还监测了所有不良反应:两组患者的麻醉时间、手术时间和住院时间无明显差异(P > .05)。接受不同麻醉方法后,两组患者的化验结果相似(P > .05)。两组患者的不良反应无明显差异,表明两种麻醉方法的手术安全性相当(P > .05):结论:全身麻醉和椎管内麻醉都能为下肢骨折手术提供有效的麻醉效果,且安全性相似。患者的实验室指标相似,麻醉时间、手术时间和住院时间也相当。
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Comparison of General vs. Intraspinal Anesthesia in Lower Limb Fracture Surgery: A Prospective Study.

Objective: This study was carried out to evaluate the effectiveness of general versus intraspinal anesthesia in lower limb fracture surgery.

Methods: Between January 2018 and August 2022, the researchers' hospital recruited and randomized 433 patients who underwent surgery for lower limb fractures. The study population was divided into 2 groups. Group A (n=220) received general anesthesia during surgery; group B (n=213) received intraspinal anesthesia. Factors were recorded and analyzed, including anesthesia duration, operative time, length of hospital stay, and laboratory indices such as hemoglobin (Hb), serum glutamate pyruvate transaminase (SGPT), blood urea nitrogen (BUN), creatinine (Cr). All adverse events were monitored as well.

Results: There were no significant differences in anesthesia duration, surgery time, and length of hospital stay between the two patient groups (P > .05). After receiving different anesthesia approaches, both groups had similar laboratory results (P > .05). The absence of significant differences in adverse events between the two groups indicates that both methods of anesthesia have comparable surgical safety (P > .05).

Conclusion: Both general anesthesia and intraspinal anesthesia provided effective anesthetic effects for lower limb fracture surgery with a similar safety profile. Patients also showed similar laboratory indices and experienced comparable anesthesia duration, operative time, and length of hospital stay.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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