老年患者髋部骨折术前麻醉优化的实施效果分析

Abstract: Objective To study the effect and application value of optimizing anesthesia measures for elderly patients with hip fracture before surgery. Methods From January 2023 to December 2024, Yixing Second People’s Hospital treated 100 elderly patients with hip fractures requiring surgical intervention. Using a randomized digital method, patients were divided into two groups: 50 in the control group under general anesthesia, and 50 in the observation group receiving optimized preoperative anesthesia protocols including light-weight spinal anesthesia. Comparative analyses of vital signs, surgical safety, and postoperative recovery indicators were conducted to evaluate anesthesia effectiveness. Results The vital signs of the two group were compaerd, and the observation group was higher than the control group, the difference was statistically significant (P＜0.05). In the surgical safety analysis of patients, the incidence of intraoperative adverse events was 0.00%, which was 14.00% lower than the control group, the different was statistically significant ( χ 2 =7.529, P＜0.05). The indexs of postoperative recovery in the observation group were better than those in the control group, and the difference was statistically significant (P＜0.05). Conclusion In elderly patients with hip fracture, pre operative optimization measures for anesthesia during operation and light weight lumbar anesthesia after optimization can effectively maintain the stability of patients’ vital signs during operation, and at the same time, postoperative recovery and surgical safety can be significantly guaranteed.