Effect comparison between ultrasound-guided iliaca fascia compartment block combined with sacral plexus block and epidural anesthesia in elderly patients undergoing hip arthroplasty
Effect comparison between ultrasound-guided iliaca fascia compartment block combined with sacral plexus block and epidural anesthesia in elderly patients undergoing hip arthroplasty
Objective To compare the effects of ultrasound-guided iliac fascia compartment block combined with sacral plexus block and epidural anesthesia in elderly patients undergoing hip arthroplasty.Methods A total of 50 pa-tients planned to undergo hip arthroplasty(posterolateral approach)were selected.These patients were divided into obser-vation group and control group by random number method,25 cases in each group.The observation group first underwent iliofascial space block in supine position under ultrasound guidance and then sacral plexus block in lateral position.The control group underwent epidural anesthesia.Systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)and visual analogue score(VAS)of the two groups were compared at the time of entering the operating room(T0),the beginning of incision(T1),the end of incision(T2),24 hours after surgery(T3),and the effective time of anesthesia block,the time of complete anesthesia block and the occurrence of complications in the two groups were recorded and compared.Results At T1 and T2,SBP and DBP in observation group were higher than those in control group,and the differences were statistically significant(t=44.81,39.98,29.35,22.59,P＜0.05).At T1,HR in observation group was high-er than that in control group,and the difference was statistically significant(t=22.42,P＜0.05).At T1,T2 and T3,VAS scores in observation group were lower than those in control group,with statistical significance(ZZ=8.79,6.20,5.93,P＜0.05).The effective time and complete time of anes-thesia block in observation group were shorter than those in control group,with statistical significance(t=14.39,10.56,P＜0.05).The incidence of urinary re-tention in observation group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclusion Ultrasound-guided iliac fascia compartment block combined with sacral plexus block can block the main nerves of the lower extremity during hip arthroplasty,with better anesthetic effect,stable hemodynamics during the operation and fewer postoperative complications,and is conducive to rapid recovery.
关键词
超声引导/髂筋膜间隙阻滞/骶丛阻滞/老年/髋关节置换术/硬膜外麻醉
Key words
ultrasound guidance/iliac fascia compartment block/sacral plexus block/elderly/hip arthroplas-ty/epidural anesthesia
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万方数据