The effect of multimodal analgesia solution based on nerve block in patients undergoing surgery for proximal humeral fractures
Objective:To explore the effect of enhanced recovery after surgery(ERAS)multimodal analgesia solution based on nerve block in patients undergoing surgery for proximal humeral fractures.Methods:A retrospective analysis of clinical data was conducted on patients with proximal humeral fractures treated from January 2018 to June 2022.Among them,106 patients treated from January 2018 to December 2019 were managed with conventional treatment(Conventional group),and 89 patients treated from January 2020 to June 2022 were managed according to the ERAS protocol(ERAS group).General information was recorded for both groups,including age,gender,body mass index(BMI),American Society of Anesthesiologists(ASA)grade,surgery time,intraoperative bleeding loss,postoperative pain visual analogue scales(VAS)at 24 and 48 hours,incidence of postoperative nausea and vomiting(PONV),length of hospital stay,and the total hospitalization costs.Results:There were no statistically significant differences in age,gender,BMI,ASA grade,surgical time,or intraoperative bleeding loss between the two groups(all P＞0.05).The proportion of patients receiving combined nerve block in the ERAS group was 100％,higher than the 35.8％in the conventional group(P＜0.05).The postoperative 24 h VAS score in the ERAS group was 2.52±1.3,lower than that of 4.4±1.9 in the Conventional group(P＜0.05).There was no statistically significant difference in postoperative 48 h VAS scores between the two groups(P＞0.05).The incidence of PONV in the ERAS group was 24.7％,lower than that of 55.7％in the Conventional group(P＜0.05).The length of hospital days for patients in the ERAS group was 7.5±3.1 days,shorter than that of 9.1±4.1 days in the Conventional group(P＜0.05).The total hospitalization cost for patients in the ERAS group was 58 324.9±25 713.4 yuan,lower than that of 6 609.1±27 865.3 yuan in the Conventional group(P＜0.05).Conclusions:The application of multimodal ERAS analgesia solution based on nerve block in patients undergoing proximal humeral fracture surgery can reduce the postoperative 24 h VAS score and the incidence of PONV,shorten the hospital stay,and decrease total hospitalization costs.
Nerve BlockEnhanced Recovery After SurgeryProximal Humerus Fracture
万方数据
维普
