Gepato-gastroenterologik tadqiqotlar jurnali 2023 №2

Тема статьи

IMPROVEMENTS AFTER SURGICAL ANESTHESIA IN ELDERLY AND OLD AGE PATIENTS IN THE INTERVENTION OF THE HIP JOINT (13-15)

Авторы

Begmatov J.A., Goyibov S. S.

Учреждение

Samarkand State Medical University

Аннотация

The article presents data on postoperative pain relief in elderly and senile patients who underwent surgery on the hip joint and thigh. The study included 56 patients (35 women and 21 men) of elderly and senile age from 62 to 85 years, with the risk of III-IV ASA anesthesia, who underwent elective operations of unipolar hip arthroplasty and osteosynthesis of the femur. All patients were divided into 2 groups depending on the method of postoperative analgesia: main and control. In the main group (n=30), combined anesthesia was used based on a combination of peripheral neural blockade of the lumbar plexus by inguinal access with solutions of long-acting local anesthetics of low concentration (0.1%) and "basic" NSAID analgesia. In the control group (n=26) standard anesthesia with narcotic analgesic was carried out Comparison of regional blockade of the lumbar plexus 0.1%. Postoperative analgesia based on regional blockade of the lumbar plexus (0.1% solutions of naropine or marcaine) and the planned administration of NSAIDs (diclofenac, ketonal or xefocam) is a more effective method of analgesia after surgery in trauma patients of elderly and senile age.

Ключевые слова

Key words: elderly and old age patients, Promedol

Литературы

1. Bessonov S. V. Anesthesia and postoperative analgesia in arthroplasty of large joints of the lower extremities in patients with cardiovascular pathology: Abstract of the thesis. dis. … cand. honey. Sciences. M., 2005. 24 p. 2. Lebedeva R. N., Nikoda V. V. Pharmacotherapy of acute pain. M .: AiR Art, 1998. 184 p. 3. Ovechkin A. M., Gnezdilov A. V., Arlazarova N. M. et al. Preventive analgesia: a real opportunity for the prevention of postoperative pain syndrome / / Anesthesiology and resuscitation. 1996. No. 4. S. 35–39. 4. Гарифулина Л. М., Ашурова М. Ж., Гойибова Н. С. Состояние здоровья детей с различными типами ожирения //Молодежь и медицинская наука в XXI веке. – 2018. – С. 35-37. 5. Osipova N.A. Antinociceptive components of general anesthesia and postoperative analgesia // Anesthesiology and resuscitation. 1998. No. 5. S. 11–15. 6. Bouaziz H., Vidal F., Jochum D. et al. An evaluation of tfle cutaneous distribution after obturator nerve block // Anestfl.Analg. 2002; 94: 445– 449. 7. Матлубов М. М., Гойибов С. С. ОПТИМИЗАЦИЯ ПРЕДОПЕРАЦИОННОЙ ПОДГОТОВКИ У БОЛЬНЫХ С САХАРНЫМ ДИАБЕТОМ ПРИ ПРОКТОЛОГИЧЕСКИХ ОПЕРАЦИЯХ //International scientific review. – 2020. – №. LXXV. – С. 66-70. 8. Гойибов С. С. УСОВЕРШЕНСТВОВАНИЕ АНЕСТЕЗИИ У ПОЖИЛЫХ БОЛЬНЫХ С САХАРНЫМ ДИАБЕТОМ ПРИ ОПЕРАЦИЯХ МАЛОГО ТАЗА //Вестник науки и образования. – 2022. – №. 10-2 (130). – С. 65-69. 9. Гойибов С. С. ОПТИМИЗАЦИЯ АНЕСТЕЗИИ У БОЛЬНЫХ ПОЖИЛОГО ВОЗРАСТА С САХАРНЫМ ДИАБЕТОМ ПРИ ОПЕРАЦИЯХ ПАХОВЫХ ГРЫЖ //Проблемы науки. – 2022. – №. 5 (73). – С. 99-103. 10. Capdevila X., Biboulet P., Bouregba M. et al. Comparison of tfle tflree‑in‑one and fascia iliaca compartment blocks in adults: clinical and radiograpflic analysis // Anestfl. Analg. 1998; 86: 1039–1044. 11. Haljamae H., Stefansson T., Wickstrom I. Preanestfletic evaluation of tfle female geriatric patient witfl flip fracture // ActaAnaestfl. Scand. 1982; 26: 393. 12. Kehlet H. Effect of pain relief on tfle surgical stress respons// Regional Anaestfl. 1996; 21 (6S): 35–37. 13. Marhofer P., Nasel C., Sitzwohl C. et al. Magnetic resonance imaging of tfle distribution of local anestfleti during tfle tflree‑in‑one block // Anestfl. Analg. 2000; 90 (1): 119–124. 14. Wolinsky F. D., Fitzgerald J. F., Stump T.