Effects of Goal-Directed Fluid Therapy on Postoperative Delirium in Elderly Hip Fracture Patients

• DOI: 10.26689/bas.v3i2.10317
• Publication Date: 2025-04-28T07:12:51Z
• Authors: Yan Chen; Ying Chang
• Keywords: Hip Fracture

Objective: To analyze the effects of goal-directed fluid therapy on postoperative cerebral oxygen metabolism level (rScO2), blood pressure (MAP), heart rate (HR), and incidence intraoperative hypotension delirium in elderly hip fracture patients. Methods: Sixty-six patients who underwent surgery under intrathecal anesthesia a hospital between October 2023 September 2024 were selected divided into control group an observation using mean score method, each with 33 cases. Both groups given dexmedetomidine 10 min before surgery, was treated conventional replacement, while therapy. The rScO2, MAP, HR, hypotension, index MMSE at preoperative (T0), subarachnoid block for 5 (T1), surgical 30 (T2) observed compared two groups. Results: difference left rScO2 right levels T0 not significant (P > 0.05), but significantly higher than T1 T2 < 0.05); T0, T1, lower those statistically 0.05). There no MAP HR group’s there decrease T2, being that however, (3.03%) (24.24%) scale scores 1d group, 3d groups, had statistical significance Conclusion: During implementation elderly, application can improve tissues, reduce fluctuation rate, help to promote recovery patients’ cognitive functions.