Effect of Preoperative Nasal Drip of Dexmedetomidine Combined with FICB on Perioperative Hemodynamics,Anesthesia Quality and Emergence Agitation in Elderly Patients Undergoing Hip Fracture Surgery
Objective:To analyze the effect of preoperative nasal drip of dexmedetomidine combined with fascia iliaca compart-ment block(FICB)on perioperative hemodynamics,anesthesia quality and emergence agitation in elderly patients undergoing hip frac-ture surgery.Methods:Elderly patients who underwent hip fracture surgery in No.909 Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army were selected as the research subjects and randomly divided into control group(75 cases,FICB)and observation group(75 cases,preoperative nasal drip of dexmedetomidine combined with FICB).Perioperative hemodynamics,anesthesia quality,emergence agitation and adverse reactions were compared between groups.Results:The two groups had similar mean arterial pressure(MAP)and heart rate(HR)when entering the waiting room(P＞0.05).The observation group had significantly lower MAP and HR than the control group when leaving the waiting room,immediately after transfer from the bed,when the body position was success-fully placed and at the end of lumbar anesthesia puncture(P＜0.05).The onset time of FICB in the observation group was significantly shorter than that in the control group(P＜0.05).The NRS scores of the observation group at 1 h,2 h,4 h and 6 h after surgery were signifi-cantly lower than those of the control group(P＜0.05).The Riker SAS scores of the observation group at 10 min,20 min and 60 min after extubation were significantly lower than those of the control group(P＜0.05).The incidences of adverse reactions in the two groups were close(P＞0.05).Conclusion:Preoperative nasal drip of dexmedetomidine combined with FICB is beneficial for maintaining stable hemo-dynamics,shortening the onset time of FICB and improving the analgesic effect in patients undergoing hip fracture surgery.Meanwhile,it can significantly reduce emergence agitation,without increasing adverse reactions.
Hip fractureDexmetomidineFascia iliaca compartment blockHemodynamic fluctuationAnesthesia qualityEmer-gence agitation
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