Application value of combined spinal-epidural anesthesia in femoral neck fracture surgery for elderly patients and its effects on VAS scores

Abstract

Objective To investigate the application value of combined spinal-epidural anesthesia (CSEA) in elderly patients with femoral neck fracture surgery and its effect on visual analogue scale (VAS) scores. Methods Sixty-four elderly patients with femoral neck fracture were selected and divided into control group (32 cases) and observation group (32 cases) according to the order of operation time. Patients in control group were given general anesthesia, and patients in observation group were given CSEA. The anesthetic effects and VAS scores of the two groups were compared. Results The onset time of anesthesia and recovery time in observation group [(6.93±2.73), (15.27±4.04) min] were shorter than those in control group [(12.63±2.81), (36.05 ± 5.93)min], the difference was statistically significant (P<0.05). The VAS score of observation group (2.37±0.37) was lower than that of control group (4.03±0.42), and the intraoperative blood loss [(51.49±11.73) ml] was less than that of control group [(64.83±10.63) ml], the difference was statistically significant (P<0.05). The incidence of adverse reactions in observation group (12.50%) was lower than that in control group (34.38%), and the difference was statistically significant (P<0.05). Conclusions CSEA, in femoral neck fracture surgery for elderly patients, has fast onset time of anesthesia, and good analgesia and anesthesia effect, which is more in line with the requirements of the elderly patients for surgical anesthesia and is worthy of clinical application. Key words: Combined spinal epidural anesthesia; Femoral neck fracture; Visual analogue scale score