Application Value of Ultrasound-guided Iliofascial Nerve Block Combined with Lumbar Anesthesia in Elderly Patients with Femoral Neck Fracture Undergoing Hip Replacement
Objective To investigate the application effect of ultrasound-guided iliofascial nerve block combined with lumbar anesthesia in elderly patients with femoral neck fracture undergoing hip replacement.Methods A total of 80 patients with femoral neck fracture undergoing hip replacement in Xuzhou Mining Hospital from January 2021 to May 2023 were selected as the research objects and divided into two groups according to random number table method,with 40 patients in each group.The control group was given conventional lumbar bupivacaine anesthesia,and the ob-servation group was given ultrasound-guided iliofascial nerve block and then lumbar anesthesia.Anesthesia effect,pain score,mean arterial pressure,heart rate and incidence of anesthesia complications were compared between the two groups.Results The anesthetic effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The pain scores of the observation group were lower than those of the control group during the operation and 4 and 12 h after the operation,and the differences were statistically significant(all P<0.05).24 h after operation,the pain score of observation group was lower than that of control group,and the dif-ference was not statistically significant(P>0.05).The blood pressure and heart rate of the observation group were higher than those of the control group during and after operation,and the differences were statistically significant(both P<0.05).The total incidence of postoperative anesthesia complications in the observation group was 12.50%,significantly lower than that in the control group(30.00%),and the difference was statistically significant(χ2=4.588,P<0.05).Conclusion The effect of ultrasound-guided iliofascial nerve block combined with lumbar anesthesia is better in elderly patients undergoing hip replacement with femoral neck fracture.
万方数据
维普
