Effect of pericapsular nerve group block with wound infiltration on postoperative analgesia after total hip arthroplasty
10.3969/j.issn.1673-9701.2024.01.012
- VernacularTitle:髋关节囊周围神经阻滞联合切口浸润对全髋关节置换术后镇痛的影响
- Author:
Ying HUANG
1
,
2
;
Jun WANG
1
,
2
;
Chunshan DONG
1
,
2
Author Information
1. Department of Anesthesiology, the Third Affiliated Hospital of Anhui Medical University, Hefei First People&rsquo
2. s Hospital, Hefei 230061, Anhui, China
- Publication Type:Journal Article
- Keywords:
Pericapsular nerve group block;
Wound infiltration;
Total hip arthroplasty;
Postoperative analgesia
- From:
China Modern Doctor
2024;62(1):47-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of pericapsular nerve group(PENG)block with wound infiltration(WI)on postoperative analgesia after total hip arthroplasty(THA).Methods A total of seventy-eight patients who were scheduled to undergo THA in the Third Affiliated Hospital of Anhui Medical University from December 2021 to October 2022 were selected.According to random number table method,they were divided into PENG block group and PENG block +WI group,39 cases in each group.Numerical rating scale(NRS)score of postoperative rest and exercise,incidence of postoperative movement block,first walking time,incidence of rescue analgesia and adverse reactions were compared between two groups.Results At 6h and 12h after surgery,NRS scores at rest in PENG block +WI group were significantly lower than those in PENG block group(P<0.05),and at 6h,12h and 24h after surgery,NRS scores at exercise in PENG block +WI group were significantly lower than those in PENG block group(P<0.05).The first walking time of patients in PENG block +WI group was significantly shorter than that in PENG block group[(22.48±4.00)h vs.(24.73±1.94)h,t=3.150,P=0.003].There were no significant differences in incidence of rescue analgesia,movement block at different time points,nausea and vomiting,and postoperative agitation between two groups(P>0.05).Conclusion PENG block +WI can reduce the postoperative pain of THA patients,and is conducive to early activity,which is in line with the concept of enhanced recovery after surgery.
