Anesthesia effect of ultrasound-guided high fascia iliac compartment block on the elderly patients with femur fracture surgery
Objective:To explore the anesthesia effect of ultrasound-guided fascia iliac compartment block(FICB)on the elderly patients with femoral fracture surgery.Methods:A total of 89 elderly patients who underwent femoral fracture surgery in Yanling People's Hospital from Jan.2022 to Oct.2023 were retrospectively selected and divided into general anesthesia group(n=43)and FICB combined group(n=46)according to different anesthesia programs.The indexes of vital signs,stress response,pain degree,anesthetic effect,anesthetic drug dosage and adverse reactions were compared at different time points between the two groups.Results:At 5 minutes after operation,the heart rate in FICB combined group was lower than that in general anesthesia group,at visual laryngoscope intubation and 5 minutes after operation,the mean arterial pressure was lower than that in general anesthesia group(P<0.05).After 30 minutes of operation,levels of plasma renin activity,norepinephrine and aldosterone in FICB combined group were lower than those in general anesthesia group(P<0.05).At 2 hours,6 hours and 12 hours after surgery,the visual analogue scale score in FICB combined group was lower than that in general anesthesia group(P<0.05).The dosage of propofol and remifentanil,the total number of analgesic pump in FICB combined group were lower than those in general anesthesia group,the onset time of pain block,extubation time and anesthesia recovery time were shorter than those in general anesthesia group,and the duration time of pain block was longer than that in general anesthesia group(P<0.05).The total incidence of adverse reactions had no difference between the two groups(P>0.05).Conclusion:Ultrasound-guided FICB combined general anesthesia can effectively maintain the stability of operative vital signs in elderly patients with femoral fracture,alleviate the intraoperative stress,improve the anesthetic effect,and reduce the dosage of sedation and analgesia,and is safe and reliable.
Femoral fractureGeneral anesthesiaHigh fascia iliac compartment blockUltrasonic guidance
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