Clinical Study of Iliofascial Block combined with Intraspinal Anesthesia in Patients Undergoing Surgical Operation for Femoral Neck Fracture
Objective:To observe the clinical effect of iliofascial block combined with intraspinal anesthesia on patients undergoing femoral neck fracture(FNF)surgery.Method:A total of 101 patients undergoing FNF surgery in Songzi people's hospital from February 2022 to October 2023 were selected as the study subjects.They were randomly divided into control group consisted of 50 cases and observation group consisted of 51 cases by envelope method.The control group received intraspinal anesthesia,and the observation group received iliac fascia block and intraspinal anesthesia.The operation status,postoperative recovery status,visual analogue scale(VAS)score,stress index,MMSE score,PSQI score and total complication rate of the two groups were compared.Result:There was no significant difference in the comparison of operation time and intraoperative blood loss between the two groups(P<0.05).The 24 h dose of intravenous analgesia pump,the time of extubation and the first time of getting out of bed after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups before anesthesia(P<0.05).The VAS score of observation group was lower than that of control group 6 h and 24 h after operation,and the difference was statistically significant(P<0.05).There was no significant difference in the comparison of the levels of norepinephrine(NE),epinephrine(E)and cortisol(Cor)between the two groups before anesthesia(P<0.05).After extubation,three stress indexes in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the comparison of MMSE score and PSQI score between the two groups before anesthesia(P<0.05).24 h after operation,MMSE score in observation group was higher than that in control group,PSQI score was lower than control group,and the difference was statistically significant(P<0.05).The total incidence of drowsiness,dizziness,urinary retention and infection complications in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Iliofascial block combined with intraspinal anesthesia can enhance analgesia,inhibit stress response,reduce the impact on cognitive function and sleep quality,and reduce the incidence of adverse reactions in patients undergoing FNF surgery.
Iliofascial blockInternal spinal anesthesiaSurgical treatment of femoral neck fractureVisual analog scale scoreStress responseCognitive functionSleep disorders
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