Application effects of peripheral nerve block of hip joint capsule combined with intravenous general anesthesia in patients undergoing total hip arthroplasty
Objective:To observe application effects of peripheral nerve block of hip joint capsule(PENGB)combined with intravenous general anesthesia in patients undergoing total hip arthroplasty.Methods:The clinical data of 96 patients who underwent total hip arthroplasty in this hospital from August 2022 to July 2023 were retrospectively analyzed.According to different anesthesia methods,they were divided into observation group and control group,48 cases in each group.The observation group received PENGB before anesthesia induction,while the control group received fascia iliac compartment block(FICB)before anesthesia induction.After the block was completed,both groups underwent intravenous general anesthesia.The anesthesia related indexes(nerve block operation time,Remifentanil dosage,Propofol dosage)levels,the hemodynamic indexes(mean arterial pressure,heart rate)levels at different times(before block and 10,30,60 min after block),the pain[visual analogue scale(VAS)]scores at different times after the surgery(1,3,6 h after the surgery),the lower limb motor block(modified Bromage score)score,and the incidence of adverse reactions were compared between the two groups.Results:There were no significant differences in the dosage of Remifentanil and Propofol between the two groups(P>0.05).The nerve block operation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).10,30 and 60 min after block,the levels of mean arterial pressure and heart rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).3 and 6 h after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).1,3 and 6 h after the surgery,the modified Bromage score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:PENGB combined with intravenous general anesthesia in the patients undergoing total hip arthroplasty can shorten the nerve block operation time,stabilize the levels of hemodynamic indexes,and reduce the postoperative pain scores and the lower limb motor block scores.Moreover,it is superior to FICB combined with intravenous general anesthesia.
Peripheral nerve block of hip joint capsuleFascia iliac compartment blockTotal hip arthroplastyHemodynamicsPainAdverse reaction
万方数据
维普
