Effects of Different Anesthesia Methods on Heart Rate and Oxygen Saturation After Hip Surgery

Abstract

Objective: To investigate the effect of different anesthesia methods on heart rate and oxygen saturation after hip joint surgery. Methods: A retrospective analysis was conducted on the clinical data of 60 patients undergoing hip joint surgery in our hospital from February 2018 to February 2020. According to anesthesia and analgesic methods, they were divided into two groups: the continuous analgesia group guided by B-ultrasound and the continuous analgesia group with iliac fascia tube insertion, and the tracheal intubation general an-esthesia combined with intravenous self-control analgesia group (self-control analgesia group), with 30 patients in each group. The anesthesia effects of the two groups were statistically analyzed Analgesic effect, vital signs, stress reactions, and occurrence of adverse reactions. Results: The excellent and good anesthesia rate of patients in the continuous analgesia group was 96.67% (29/30), which was higher than 76.67% (23/30) in the patient-controlled analgesia group (χ2=5.192, P<0.05). At 2 hours, 12 hours, 1 day, and 2 days after surgery, the visual analogue scale (VAS) scores of patients in the continuous analgesia group were lower than those in the self-control analgesia group (P<0.05). T1, T2, T3, T4, diastolic blood pressure (DBP), systolic blood pressure (SBP), heart rate (HR), oxygen saturation (SaO2) in the continuous analgesia group were higher than those in the patient-controlled anal-gesia group (P<0.05). T1, T2, T3, T4, the cortisol (Cor), interleukin-6 (IL-6), and blood glucose levels in the continuous analgesia group were lower than those in the self-control analgesia group on average (P<0.05). The incidence of adverse reactions in the continuous analgesia group was 6.67% (2/30), lower than the 30.00% (9/30) in the patient-controlled analgesia group (χ2=5.455, P<0.05). Conclusion: The continuous analgesia value of lumbar plexus sciatic nerve block combined with iliac fascia catheterization under B-ultrasound guidance during hip joint surgery is higher than that of tracheal intubation general anesthesia combined with intravenous patient-controlled analgesia, and it can more stabilize the postoperative heart rate and oxygen saturation of patients.