Comparison of the analgesic effects of pericapsular nerve group block and fascia iliaca compartment block on intertrochanteric fractures in elderly patients
Objective To explore the analgesic effect of pericapsular nerve group(PENG)block and fascia iliaca compartment block(FICB)on postoperative analgesic effect in elderly patients with intertrochanteric femur fracture(IFF)undergoing proximal femoral nail anti-rotation(PFNA).Methods A total of 60 elderly IFF patients in Beijing Jishuitan Hospital Capital Medical University from January to December 2022 were selected,and were randomly divided into P group and F group,with 30 cases in each group.PENG block was used in P group,and FICB was used in F group.Patients in both groups were operated under spinal anesthesia,and patients were given patient controlled intravenous analgesia(PCIA)after operation.The visual analogue score(VAS)at different time points(T1,before nerve block;T2,30 min after nerve block;T3,6 h after operation;T4,24 h after operation;T5,48 h after operation)at rest and during exercise,postoperative salvage analgesia rate,analgesia satisfaction score,hospitalization time,PCIA compression times and incidence of adverse reactions were compared between the two groups.Results Among the 60 patients,there were 23 male and 37 female,aged from 65 to 85 years old,with an average age of(70.6±6.0)years.The VAS at rest and during exercise at T2-T5 in the two groups were lower than those at T1,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups in VAS during different postoperative time periods,postoperative salvage analgesia rate,analgesia satisfaction score,hospitalization time,PCIA compression times and the incidence of adverse reactions(P>0.05).Conclusions PENG block and FICB can relieve the pain of PFNA internal fixation in elderly patients with IFF,and the analgesic effect is equivalent.
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