区域麻醉对60岁以上成年人跌倒风险的影响
Jennifer Weichmann1, Jan Siad El Barbari2, Laura Cosima Siegwart3
1BG Klinik Ludwigshafen, 67071 Ludwigshafen, Germany.
Clinical biomechanics (Bristol, Avon)
|November 24, 2024
概括
臂阻塞在60岁以上的成年人中暂时增加了因手术后24小时内步行不稳定而导致的跌倒风险. 恢复到基线表现发生在两周内,但年龄会影响结果.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 生物医学工程 生物医学工程
背景情况:
- 与年龄相关的变化增加了老年人的跌倒风险.
- 麻醉程序可以影响治疗决策和患者的结果.
- 臂阻塞是一种常见的麻醉技术,可能会对运动产生影响.
研究的目的:
- 评估臂阻塞对60岁及以上成年人手术后跌倒风险的影响.
- 为了评估腕阻塞后的步行参数和功能移动性的变化.
- 确定这些影响的持续时间和影响它们的因素.
主要方法:
- 40名没有先前存在的跌倒风险因素的成年人 (≥60岁) 接受了臂阻塞.
- 在单任务和双任务条件下,使用GAITRite®走道评估了步行参数.
- 老年人的评估 (伯格平衡量级,定时上下,蒙特利尔认知评估) 和疼痛强度在手术前,24小时内和两周后被记录下来.
主要成果:
- 手术后24小时内,步行参数显著降低,特别是步伐长度,步幅变化和速度.
- 功能性评估显示平衡 (伯格平衡量级),移动性 (定时上升和移动) 和认知 (蒙特利尔认知评估) 显著下降.
- 所有参数在两周内恢复到手术前的水平;性能下降与年龄的增加相关.
结论:
- 臂阻塞,尽管有好处,暂时增加步行不稳定性和老年人跌倒的风险在术后的第一天内.
- 密切监测和考虑与年龄相关的因素对于管理这一群体的术后跌倒风险至关重要.
- 观察到的效应的暂时性表明,积极的康复和支持可以减轻风险.
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