Application of iliac fascia space block with hourglass sign in anesthesia of elderly diabetes foot surgery
[Objective]To observe the application effect of sandglass sign iliac fascial space block in elderly diabetes foot surgery anesthesia.[Methods]This study is a prospective study.Totally 112 elderly patients with diabetes foot who were admitted from January 2022 to December 2022 were selected as the study subjects.They were randomly divided into the conventional group (56 cases) and the experimental group (56 cases) by computer.The conventional group was given routine general anesthesia,and the experimental group was given hourglass sign iliac fascial space block assisted anesthesia.The changes of basic physical signs during the perioperative period,postoperative analgesia and sedation,postoperative recovery,surgical stress,and anesthesia safety were compared between the two groups.[Results]Under different anesthesia regimens,the heart rate (HR) of the experimental group during tracheal intubation (T2),skin incision (T3),and postoperative (T4) were 78.24±10.33 times/min,79.62±10.48 times/min,and 77.49±10.27 times/min,lower than the conventional group (83.11±10.61 times/min,84.25±10.36 times/min,and 82.66±10.43 times/min) (P<0.05).The Mean Arterial Pressure (MAP) values were 113.64±20.33 mmHg,115.75±20.61 mmHg,and 112.45±20.32 mmHg,lower than the conventional group (125.77±20.61 mmHg,130.45±20.72 mmHg,and 128.62±20.33 mmHg) (P<0.05).The Visual Analogue Scale (VAS) scores of the experimental group at 1 hour,3 hours,and 5 hours postoperatively were 3.88±0.26 points,3.23±0.45 points,and 2.62±0.31 points,lower than the conventional group (4.35±1.27 points,3.79±0.82 points,and 3.22±0.85 points) (P<0.05).The Ramsay Sedation Scale (RSS) scores of the experimental group were 3.83±0.25 points,3.55±0.46 points,and 3.16±0.39 points,higher than the conventional group (3.04±0.78 points,2.52±0.36 points,and 1.83±0.85 points) (P<0.05).The eye opening time and postanesthesia care unit (PACU) retention time of the experimental group were 15.45±3.36 minutes and 20.44±5.16 minutes,slightly higher than the conventional group (14.29±3.31 minutes and 19.45±3.46 minutes) (P>0.05).The application time and hospitalization time of patient-controlled intravenous analgesia (PCIA) in the experimental group were 24.33±5.61 hours and 8.28±1.46 days,lower than the conventional group (27.62±5.39 hours and 10.36±2.72 days) (P<0.05).After surgery,the norepinephrine (NE) and cortisol (Cor) of the experimental group were 170.25±20.33 pg/mL and 233.45±20.76 ng/mL,lower than the conventional group (184.33±20.42 pg/mL and 248.75±20.61 ng/mL) (P<0.05).The incidence of anesthesia related side effects in the experimental group was 10.71％ (6/56),slightly higher than the conventional group of 7.14％ (4/56) (P>0.05).[Conclusion]The hourglass sign iliac fascial space block assisted with general anesthesia can stabilize the perioperative basic physical signs of elderly patients with diabetes foot,enhance the analgesic and sedative effects,and reduce the stress of surgery without affecting the recovery or increasing the anesthesia risk.
senile diabetes foothourglass sign of iliac fascial space obstructionanesthetic effectsurgical stressanesthesia safety
万方数据
维普
