Evaluation of Effect of Ultrasound-guided Iliac Fascial Space Block and General Anesthesia in Elderly Patients with Total Hip Replacement
Objective:To analyze the effect of ultrasound-guided iliac fascial space block and general anesthesia in elderly patients with total hip replacement.Method:The clinical data of 86 elderly patients undergoing total hip replacement in Liaoyang City Central Hospital were retrospectively analyzed from October 2020 to June 2023,and the patients were divided into iliac fascial space block group(n=43)and routine general anesthesia group(n=43)according to the anesthesia methods.The two groups of patients were compared in terms of surgical conditions(surgical time,intraoperative blood loss),intraoperative vital signs[heart rate(HR),mean arterial pressure(MAP)],postoperative pain degree[numerical rating scale(NRS)],postoperative conditions[effective compression frequency of patient-controlled intravenous analgesia(PCIA)pump,first ambulation time,hospital stay]and total incidence rate of anesthesia adverse reactions.Result:There were no statistically significant differences in surgical time and intraoperative blood loss between the two groups of patients(P>0.05).There were no statistical differences in HR and MAP between both groups before anesthesia and at the end of surgery(P>0.05).MAP and HR in iliac fascial space block group during intubation and prosthesis implantation were significantly lower than those in routine general anesthesia group,with statistical differences(P<0.05).NRS scores were significantly lower in iliac fascial space block group than those in routine general anesthesia group at 3 h,6 h and 12 h after surgery,with a statistical significance(P<0.05).There was no statistical difference in NRS score between the two groups at 48 h after surgery(P>0.05).The effective compression frequency of postoperative PCIA in the iliac fascia space block group was less than that in the routine general anesthesia group,the first time of getting out of bed was earlier than that in the routine general anesthesia group,and the total incidence of anesthesia adverse reactions was significantly lower than that in the routine general anesthesia group,with statistical significance(P<0.05);there was no statistical significance in hospital stay between the two groups(P>0.05).Conclusion:Ultrasound-guided iliac fascial space block can improve the analgesic effect,reduce the use of analgesic drugs,and reduce the risk of anesthesia adverse reactions in elderly patients with total hip replacement.
Iliac fascial space blockGeneral anesthesiaElderly total hip replacementAnesthetic effectAnalgesia
万方数据
维普
