Analysis of intraoperative safety and prognosis quality and clinical characteristics of respiratory infection in elderly patients undergoing orthopedic surgery

Objective To investigate the application of combined spinal and epidural anesthesia and general anesthesia in the treatment of femoral neck fractures in elderly patients and the impact on the incidence of pulmonary infection. Methods A total of 62 patients with femoral neck fractures who were treated in Beijing Jishuitan Hospital from July 2016 to May 2017 were enrolled. The patients were randomly divided into an experimental group (31 cases) and a control group (31 cases). All patients underwent surgical treatment of femoral neck fracture. The control group received general anesthesia. The experimental group received combined spinal and epidural anesthesia. The effects of different anesthesia methods on prognosis and pulmonary infection were compared. Results During the anesthesia, the incidence of adverse reactions such as hypotension, bradycardia, and hypoxia was significantly lower in the experimental group than in the control group(P<0.05). The incidence of postoperative pulmonary infection in the experimental group was significantly lower than that in the control group (P<0.05). The proportion of patients with postoperative agitation in the experimental group was also significantly lower than that of the control group (P<0.05). Conclusions Combined spinal and epidural anesthesia can effectively reduce the incidence of postoperative pulmonary infection and other complications in the elderly orthopedic surgery patients. It is safe and worthy of promotion.