Comparison of the Effects of Different Nerve Block Techniques on Postoperative Analgesic Effect and Hip Movement in Patients Undergoing Total Hip Arthroplasty
Objective:To explore the effects of iliopsoas plane block(IPB)and fascia iliaca compartment block(FICB)on the postoperative analgesic effect and hip movement of patients undergoing total hip arthroplasty(THA).Method:A total of 96 patients who underwent THA in Fuzhou First General Hospital from January 2022 to December 2023 were randomly divided into control group and observation group,with 48 cases in each group.Before anesthesia induction,the control group underwent FICB and the observation group underwent IPB,and both groups were given intravenous analgesia after surgery.The operation time of nerve block and the use of anesthetic drugs during surgery for both groups were recorded;the pain scores of patients at 2,6,12 and 24 hours after surgery were recorded;the analgesic situation within 24 hours after surgery for both groups were recorded;the occurrence of quadriceps femoris weakness within 24 hours after surgery for both groups were recorded;in addition,the postoperative recovery situation of both groups were recorded.Result:Compared with the control group,the operation time of nerve block in the observation group was shorter(P<0.05),and there were no statistical differences in the dosages of Propofol and Remifentanil during surgery between the two groups(P>0.05).There were no statistical differences in the pain scores at 2,6,12,and 24 hours after surgery,the number of analgesic pump compressions within 24 hours after surgery,the dosage of Sufentanil and the rate of remedial analgesia between the two groups(P>0.05).Compared with the control group,the incidence of quadriceps femoris muscle weakness after surgery in the observation group decreased significantly,and the time of the first getting out of bed after surgery was advanced,and the postoperative hospital stay was shortened,the differences were statistical significance(P<0.05).Conclusion:The application of IPB in THA can provide good analgesic effect for patients,and compared to FICB,it has no adverse effects on hip mobility,which is beneficial for rapid postoperative recovery.
Total hip arthroplastyIliopsoas plane blockFascia iliaca compartment blockAnalgesiaHip movement
万方数据
维普
