不同麻醉方式对老年骨水泥固定半髋关节置换术发生骨水泥植入综合征的影响

doi:10.3969/j.issn.2095-378X.2025.02.010

Abstract

Abstract: Objective To analyze the effects of different anesthesia methods on the occurrence of bone cement implantation syndrome in elderly patients undergoing bone cement hemiarthroplasty. Methods A total of 70 elderly patients who underwent bone cement hemiarthroplasty from January 2023 to March 2024 at Guangxi International Zhuang Medical Hospital were selected as study subjects and divided into an observation group and a control group based on different anesthesia methods, with 35 patients in each group. The observation group received combined spinal epidural anesthesia, while the control group received epidural anesthesia. The study compared central venous pressure （CVP） levels before anesthesia （T₀） and 5 min after anesthesia onset （T₁）, anesthesia onset time, recovery time, muscle relaxation effect, analgesic effect, incidence of bone cement implantation syndrome, and cognitive function scores and quality of life scores 3 months post-surgery between the two groups. Results At T₀, there was no statistically significant difference in CVP levels between the two groups of patients（P>0.05）. At T₁,the CVP levels in the observation group increased slightly, but there was no statistically significant difference compared to T₀ （P<0.05）, and the control group showed a significant decrease in CVP levels compared to T₀ （P>0.05）. The observation group showed shorter anesthesia onset time and recovery time, as well as lower dosage of anesthetic drugs and incidence of bone cement implantation syndrome than the control group （P<0.05）. The muscle relaxation and analgesic effects in the observation group were superior to those in the control group （P<0.05）.The cognitive function score and quality of life score at 3 months after surgery in the observation group were higher than those in the control group （P<0.05）. Conclusion Lumbar epidural anesthesia is more effective than epidural anesthesia in elderly patients undergoing bone cement hemiarthroplasty, and can effectively ensure hemodynamic stability and reduce the incidence of bone cement implantation syndrome.

Key words: Epidural anesthesia, Combined spinal epidural anesthesia, Elderly, Semi hip arthroplasty with bone cement, Bone cement implantation syndrome

CLC Number:

R614

LIANG Huosheng, YUAN Qian, TANG Guangjun. Impacts of different anesthesia methods on occurrence of bone cement implantation syndrome in elderly patients undergoing bone cement semi hip arthroplasty[J]. Surgical Research and New Technique, 2025, 14(2): 144-148.

References

[1] 陈洋,黄科满,唐波,等. 超声引导下髂筋膜间隙阻滞复合单侧脊椎麻醉行髋关节置换术的临床研究[J]. 外科研究与新技术,2022,11(2):104-107.
[2] 董强,王琪,晁博,等. 骨水泥植入综合征的研究进展及预防[J]. 中国医疗器械信息,2022,28(3):45-48.
[3] 赵凤娟,吴赵斌,李超. 骨水泥植入综合征致患者死亡的法医学鉴定1例[J]. 广东公安科技,2021,29(2):59-61.
[4] 徐岩,窦建洪,迮浩诚,等. 老年患者关节置换术中发生严重骨水泥植入综合征高危因素回顾性分析[J]. 现代医院,2020,20(12):1862-1865.
[5] 崔永芳,张善义,孙钦艳. 股骨头置换术中骨水泥植入综合征致心搏骤停1例[J]. 中国社区医师,2020,36(23):22-23.
[6] Hatanaka K, Yamada K, Takeda A, et al.A case of chronic osteomyelitis with difficulty in treatment with daptomycin-nonsusceptible Staphylococcus capitis subspecies urealyticus[J].Jpn J Med Technol, 2022, 71(4): 748-753.
[7] Wang Q, Huang J, Chen X, et al.Risk factors of reinfection after prosthesis removal and antibiotic bone cement spacer implantation for the treatment of periprosthetic joint infection[J]. BMC Infect Dis, 2022, 22(1): 905.
[8] 张蒙,刘培来.骨水泥植入综合征发病机制及诊治研究进展[J]. 山东医药,2020,60(6):109-112.
[9] 许晴琴,王晓,杜耘,等. TEE监测非骨水泥型半髋关节置换对老年患者右心房微栓及循环系统的影响[J]. 贵州医科大学学报,2019,44(11):1354-1359.
[10] 陈丽娟,周建玲,杨敬,等. 骨质疏松椎体压缩性骨折治疗中发生骨水泥植入综合征的护理干预[J]. 中日友好医院学报,2019,33(4):261-262.
[11] 宋丽君. 分析不同麻醉方式对老年骨水泥半髋关节置换术发生骨水泥植入综合征的影响[J]. 中国医药指南,2020,18(8):97.
[12] Taskin O, Kocabicak E, Ozturk S, et al.Electrode fixation with bone cement or stimloc in deep brain stimulation surgery: acomparative study[J]. Turk Neurosurg,2022,32(3):449-458.
[13] 吴卫强. 不同麻醉方式对老年骨水泥半髋关节置换术发生骨水泥植入综合征的影响分析[J]. 现代诊断与治疗,2017,28(5):912-913.

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Impacts of different anesthesia methods on occurrence of bone cement implantation syndrome in elderly patients undergoing bone cement semi hip arthroplasty

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