Effect of FICB combined with intraspinal anesthesia on inflammatory stress response and postoperative recovery in elderly patients undergoing total hip arthroplasty
Objective To explore the effectiveness of the fascia iliaca compartment block(FICB)combined with intraspinal anesthesia in elderly patients with total hip arthroplasty.Methods A total o f 96 elderly patients with total hip replacement were divided into control and observation groups.The control group was given intraspinal anesthesia after home invasion,and the observation group was subjected to ultrasound-guided FICB,and then intraspinal anesthesia.All the two groups received controlled intravenous analgesia.The immediate visual analog score(VAS)and intraspinal anesthesia operation time-consuming were compared in group 2 patients after entering the room.The first press time,number of press times,salvage analgesia rate,postoperative time of first ambulation,hospital stay,Harris hip score 3 d after surgery,and postoperative complications were compared.Serum tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),and IL-8 levels were measured in group 2 before 24 hours after operation.Results Compared with the control group,the VAS scores in the observation group were reduced immediately(P＜0.05).The time-consuming of intraspinal anesthesia operation was shortened(P＜0.05).Doctors'satisfaction with body placement was increased(P＜0.05).The first press time of the analgesic pump was delayed in the observation group(P＜0.05).The number of the presses was reduced(P＜0.05).The salvage analgesic rate was reduced(P＜0.05).Compared with the control group,the first move of patients after surgery in the observation group were earlier(P＜0.05).Postoperative hospital stay was shortened(P＜0.05).The rate of delusion and vomiting was decreased after surgery(P＜0.05).Comparison of the Harris scores on the third postoperative day in the two groups,there was no statistically significant difference(P＞0.05).Serum levels of TNF-α,IL-6,and IL-8 at 24 h in the observation group were reduced compared with the control group(P＜0.05).Conclusion FICB combined with intraspinal anesthesia can improve the analgesic effect after total hip arthroplasty in the elderly,reduce the stress response,and facilitate the postoperative recovery.
hip replacementiliofascial space blockintraspinal anesthesiastress responsepostoperative recovery
万方数据
维普
