| 摘要: |
| 【摘要】目的 探讨超声引导下连续髂筋膜阻滞对老年患者股骨近端防旋髓内钉（PFNA）内固定术后镇痛的效果。方法 选择因股骨粗隆间骨折在椎管麻醉下行PFNA内固定的老年患者60例，随机数字表法将患者分为超声引导连续髂筋膜阻滞组（A组）和静脉镇痛组（B组），手术结束后，A组在超声引导下行连续髂筋膜阻滞镇痛，B组给予患者静脉自控镇痛。观察并记录两组患者术后2h、6h、12h、24h、48h五个时点的生命体征变化及各时点疼痛视觉模拟评分（VAS）；记录术后补救镇痛药物需求率、术后恶心呕吐发生率、术后镇痛满意度和不良反应发生情况。结果 与B组相比较，A组在术后的VAS评分降低（P<0.05），补救镇痛需求率降低（P<0.05）满意度明显增高（P<0.01）。A组未出现恶心呕吐等不良反应，B组共发生8例,差异有统计学意义（P<0.05）。结论 超声引导下连续髂筋膜阻滞可安全有效用于老年患者PFNA内固定术后镇痛。
【关键词】超声引导；髂筋膜阻滞；老年；股骨近端防旋髓内钉；术后镇痛 |
| 关键词: 超声引导 髂筋膜阻滞 老年 股骨近端防旋髓内钉 术后镇痛 |
| DOI： |
| 投稿时间：2018-10-25修订日期：2018-11-19 |
| 基金项目: |
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| The analgesic effect of ultrasound-guided continuous fascia iliaca compartment block after internal fixation by proximal femoral nail anti-rotation in elderly patients. |
| Wang wutao,SHU Ya |
| (The First Affiliated of Xi’an medical University) |
| Abstract: |
| 【Abstract】 Objective To observe the analgesic effect of ultrasound-guided continuous fascia iliaca compartment block after internal fixation by proximal femoral nail anti-rotation(PFNA) in elderly patients.Methods Sixty elderly patients received internal fixation by proximal femoral nail anti-rotation were randomly assigned into two groups:ultrasound-guided continuous fascia iliaca compartment block(group A)and patient-controlled intravenous analgesia group(group B).Patients in group A received ultrasound-guided continuous fascia iliaca compartment block after surgery.The patients in group B received patient controlled intravenous after surgery.Patient’s vital signs,VAS scores and rescure analgesic demand were recorded at 2,6,12,24,48h after operation;Cases of nausea and vomiting,postoperative analgesia satisfaction and adverse reactions were recorded.Results Compared with group B,the VAS at three time points after operation in group A decreased significantly(P<0.05)with less rescure analgesic demands (P<0.05)and higher analgesia satisfaction(P<0.01).Group A showed no adverse effects such as nausea,vomiting,while 8 cases in group B developed such adverse effects(P<0.05).Conclusion Continuous fascia iliaca compartment block guided by ultrasound in elderly patients provides safe and adequate analgesic effect after internal fixation by PFNA.
【Key words】 ultrasound-guided; fascia iliaca compartment block;elderly; proximal femoral nail anti-rotation;postoperative analgesia |
| Key words: ultrasound-guided fascia iliaca compartment block elderly proximal femoral nail anti-rotation postoperative analgesia |
