Comparison of analgesic effects of ultrasound-guided different approaches of iliac fascia block on elderly patients with hip fracture in intraspinal anesthesia during positioning and postoperative
Objective To compare the analgesic effects of ultrasound-guided different approaches of iliac fascia block on elderly patients with hip fracture in intraspinal anesthesia during positioning and postoperative.Methods From December 2020 to December 2021,60 patients with hip fracture who underwent hip replacement under intraspinal anesthesia in our hospital were selected as the research objects.The patients were divided into group A and group B according to the random number table method,with 30 cases in each group.The group A underwent iliac fascia block via anterior superior iliac spine under approach,and the group B underwent iliac fascia block via anterior superior iliac spine upper approach.The anesthetic effects of the two groups were compared.Results The onset time of lateral femoral cutaneous nerve block in the group B was shorter than that in the group A,and the difference was statistically significant(P<0.05).From 10 min after block(T1)to position placement(T3),the Visual Analogue Score(VAS)score of the group B was lower than that of the group A,and the difference was statistically significant(P<0.05).From 6 h(H0)to 10 h(H2)after operation,the number of self-controlled analgesia pump use in the group B was less than that in the group A,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the group B was lower than that in the group A,and the difference was statistically significant(P<0.05).Conclusion Iliac fascia block via anterior superior iliac spine upper approach can shorten the onset time of lateral femoral cutaneous nerve block in elderly patients with hip fracture,reduce the degree of pain,reduce the number of self-controlled analgesia pump use,and has better analgesic effect,which is worthy of clinical promotion.
hip fractureiliac fascia blockintraspinal anesthesiaanterior superior iliac spine under approachanterior superior iliac spine upper approach
NETL
NSTL
万方数据
维普
