Perioperative effect of pericapsular nerve group block combined with lateral femoral cutaneous nerve block on patients under-going hip surgery
Objective To observe the effect of ultrasound-guided pericapsular nerve group block(PENGB)combined with lateral femoral cutaneous nerve block(LFCNB)on hip fracture patients underwent surgery.Methods Sixty patients underwent artificial femoral head replacement for hip fracture or intramedullary nail fixation for closed reduction of intertrochanteric fracture of femur in Yangpu District Central Hospital from February 2022 to June 2023 were selected and randomly divided into the nerve block group and the control group by random number,30 cases in each group.In the nerve block group,PENGB and LFCNB were performed 30 min before positioning for subarachnoid block,while in the control group,sufentanil citrate 0.1 µg/kg was given intravenously 5 min before positioning.For all patients,Visual Analogue Scale(VAS)scores at entry,30 min after PENGB block or 5 min after sufentanil were recorded,as well as patient cooperation,pain VAS scores at 6,12,24,and 48 h after surgery,muscle strength of the affected lower extremity at 6 h after surgery,preoperative and postoperative CRP and serum amyloid A(SAA),occurrence of intraoperative and postoperative short-term complications,and patient satisfaction.Results There was no difference in preoperative pain VAS scores between the two groups(P＞0.05).The pain was significantly improved after either nerve block or intravenous sufentanil(both P＜0.05),but the VAS score in nerve block group was significantly lower than that of control group(P＜0.05).When patients were positioned for subarachnoid block,the VAS score(both P＜0.05)and patient coordination(P＜0.05)in nerve block group were both significantly superior to the control group(both P＜0.05).The active VAS scores at 6,12 and 24 h after operation and the resting VAS scores at 12 and 24 h after operation in nerve block group were all superior to the control group(all P＜0.05).There was no significant difference in the other time points,neither in muscle strength of lower extremity at 6 h after operations and complication rate.Postoperative CRP and SAA levels in the two groups were both higher than preoperative levels(both P＜0.01),but no significant difference was observed between the two groups(both P＞0.05).Patient satisfaction in nerve block group was higher than the control group(P＜0.05).Conclusion PENGB combined with LFCNB can effectively reduce the perioperative pain of patients,improve the cooperation and satisfaction of patients,and show no significant impact on postoperative muscle strength and inflammation,indicating a safe use in clinical practice.
Pericapsular nerve group blockLateral femoral cutaneous nerve blockHip fracture
国家科技期刊平台
NSTL
万方数据
