Comparison of Analgesic Effect and Safety of Intravaginal Injection of Sufentanil and Fentanyl in Elderly Patients with Intertrochanteric Fractures under PFNA Internal Fixation
Objective:To compare the analgesic effect and safety of intrathecal injection of Sufentanil and Fentanyl in elderly patients with intertrochanteric fractures under proximal femoral nail antirotation(PFNA)internal fixation.Method:A total of 108 elderly patients with intertrochanteric fractures under PFNA internal fixation who treated in the the Fifth People's Hospital of Changshu from January 2019 to December 2022 were selected as the research objects,the patients were divided into 54 cases in the study group and 54 cases in the conventional group according to the random number table method.The study group was treated with intrathecal injection of Sufentanil,and the conventional group was treated with intrathecal injection of Fentanyl.The operation time,analgesia time,visual analogue scale(VAS)score at 6 h and 12 h after operation and adverse reactions were compared between two groups.Result:There was no significant difference in the operation time between two groups(P>0.05);the analgesic time of the study group was longer than that of the conventional group,and the difference was statistically significant(P<0.05).The VAS scores of the study group at 6 h and 12 h after operation were lower than those of the conventional group,and the VAS scores of two groups at 12 h after operation were lower than those at 6 h after operation,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion:Compared with Fentanyl,Sufentanil has a significant analgesic effect in elderly patients undergoing PFNA internal fixation for intertrochanteric fractures,which can relieve postoperative pain and reduce the incidence of adverse reactions.
ElderlyIntertrochanteric fracturesProximal femoral nail antirotationInternal fixationGeneral anesthesiaSufentanilFentanylAnalgesic effect
万方数据
维普
