[摘要] 目的 探讨全身插管麻醉与腰硬连麻麻醉对老年股骨颈骨折患者术后肺部并发症的影响。方法 随机选取2013年2月—2016年8月该院收治的100例股骨颈骨折患者为研究对象，依照麻醉方式不同将入选病例分为A组(全身插管麻醉，47例)和B组(腰硬联合麻醉，53例)。观察两组肺部并发症发生率，评估两组肺部感染情况。结果 A组肺部感染并发症发生率(26.77%)显著高于B组(9.43%)，差异有统计学意义(P<0.05)。结论 老年股骨颈骨折术中应用腰硬联合麻醉对减少术后肺部感染并发症发生率具有积极作用，值得临床推广使用。

    [关键词] 股骨颈骨折；全身插管麻醉；腰硬联合麻醉；肺部并发症

    [中图分类号] R614 [文献标识码] A [文章编号] 1674-0742(2017)04(c)-0094-03

    [Abstract] Objective To discuss the effect of general intubation anesthesia and combined spinal epidural anesthesia on the postoperative lung complications of senile patients with transcervical fracture. Methods 100 cases of patients with transcervical fracture admitted and treated in our hospital from February 2013 to August 2016 were randomly selected and divided into two groups according to the anesthesia methods ......