Effects of Ultrasound-Guided Iliac Fascia Space Block Combined with General Anesthesia on Stress Response and Anesthesia Recovery in Elderly Patients Undergoing Total Hip Arthroplasty
Objective To investigate the effects of ultrasound-guided iliac fascia space block combined with general anesthesia on stress response and anesthesia recovery in elderly patients undergoing total hip arthroplasty.Methods A total of 100 elderly patients who underwent total hip arthroplasty in Jinxiang County People's Hospital from June 2021 to May 2023 were selected as the study objects, and were divided into a control group and an observation group by random number table method, with 50 cases in each group.The control group received simple general anesthesia, and the observation group received ultrasound-guided iliac fascia space block combined general anesthesia.The hemodynamics, stress response, anesthesia recovery and adverse reactions were compared between the two groups.Results Before entering the operating room, there were no significant differences in mean arterial pressure (MAP) and heart rate between the two groups (P>0.05);after the operation, the MAP and heart rate of the observation group had no statistical significances compared with those before admission (P>0.05), but they were higher than those of the control group, and the differences between the groups were statistically significant (P<0.05).Before entering the operating room, there were no significant differences in the catecholamine (CA), lactic acid (LAC) and cortisol (Cor) levels between the two groups (P>0.05);after the operation, the levels of CA, LAC and Cor in the observation group were all increased, but they were all lower than those in the control group, and the differences between the groups were statistically significant (P<0.05).The recovery time of spontaneous respiration, eye opening time and orientation in the observation group were (11.89 ±1.76)min, (12.88 ±1.74)min and (14.52 ±1.74)min, respectively, which were shorter than (13.18±1.88)min, (14.43±1.85)min and (16.14±1.75)min in the control group, and the differences between the groups were statistically significant (P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Ultrasound-guided iliac fascia space block combined with general anesthesia has little effect on hemodynamics in elderly patients with total hip arthroplasty, which is beneficial to reduce stress response and shorten the time of anesthesia recovery.
Total hip arthroplastyIliac fascial space blockGeneral anesthesiaStress responseAnesthesia awakening
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