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