Effects of ultrasound-guided femoral nerve block combined with nalbuphine on postural pain,postoperative pain and sleep quality in patients with lower limb fractures
Objective To explore the effects of ultrasound-guided femoral nerve block combined with nalbuphine on postural pain,postoperative pain and sleep quality in patients with lower limb fractures.Methods From February 2023 to February 2024,80 patients with lower limb fractures[all underwent reduction and internal fixation under combined spinal-epidural block anesthesia(CSEA)]admitted in Jiangyin Traditional Chinese Medicine Orthopedic Hospital of Jiangsu Province were selected and divided into control group and observation group by random number table method,with 40 cases in each group.Ultrasound-guided femoral nerve block was performed in both groups.The control group was injected with 20 mL of 0.375％ropivacaine,and the observation group was injected with 20 mL of 0.375％ropivacaine+nalbuphine.The pain degree,vital signs and sleep quality were compared between the two groups.Results When placing the position and at 12 and 24 h after operation,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group(P＜0.05).When placing the position,mean arterial pressure(MAP)and heart rate(HR)in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).On the 1st and 2nd day after operation,the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was lower than that of the control group(P＜0.05).Conclusion Ultrasound-guided femoral nerve block combined with nalbuphine can reduce postural pain and postoperative pain in patients with lower limb fractures,and improve postoperative sleep quality.
万方数据
维普
