Application of Ultrasound-Guided Lumbarsacral Plexus Block in Proximal Femoral Anti Rotation Intramedullary Nail Surgery in Elderly Patients with Femoral Fractures
Objective To explore the anesthesia effect of ultrasound-guided lumbosacral plexus block on proximal femoral anti rotation intramedullary nail(PFNA)surgery in elderly patients with femoral fractures.Methods A total of 90 elderly patients with femoral fractures who were diagnosed and treated in General Hospital of Pingmei Shenma Group from January 2020 to December 2022 were randomly divided into control group and study group,with 45 cases in each group.The control group received traditional nerve stimulator guided posterior lumbar plexus combined with sciatic nerve block anesthesia,while the study group received ultrasound-guided lumbar sacral plexus block anesthesia.The visual analogue scale(VAS)scores,Chinese revised version of the delirium assessment method(CAM-CR)scores,the occurrence of adverse reactions and postoperative rehabilitation related indicators were compared between the two groups.Results The VAS scores of the study group were lower than those of the control group at 2,6,12,24,and 48 hours after surgery(P＜0.05).The CAM-CR scores in the study group were lower than before surgery on the 2nd and 3rd postoperative days(P＜0.05),while the CAM-CR scores in the control group were higher than before surgery on the 1,2,and 3 days after surgery(P＜0.05).The CAM-CR scores in the study group were lower than those in the control group on the 1,2,and 3 days after surgery(P＜0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P＜0.05).The blink time,fist clenching time,awakening time,extubation time,first time out of bed activity time,and hospitalization time of the study group were significantly shorter than those of the control group(P＜0.05).The hospitalization expenses of the study group were lower than those of the control group(P＜0.05).Conclusion Ultrasound guided lumbosacral plexus block applied in elderly patients with femoral fractures undergoing femoral PFNA surgery can effectively alleviate postoperative pain,reduce postoperative delirium and adverse reactions,promote patient recovery,and reduce hospitalization costs.
femoral fractureultrasoundlumbosacral plexus blocksurgical treatment of proximal femoral anti rotation intramedullary nailsanesthesiarecovered
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