Application of hip capsule block and fascia iliaca block in elderly patients with hip replacement
10.3969/j.issn.1673-9701.2024.36.004
- VernacularTitle:髋关节囊阻滞与髂筋膜阻滞在老年髋关节置换术中的应用
- Author:
Yang NAN
1
;
Xuehua ZHANG
1
;
Lingchun WANG
1
;
Chunchun ZHU
1
;
Xutong ZHANG
1
;
Jun LI
1
Author Information
1. 温州医科大学附属第二医院 育英儿童医院麻醉与围术期医学科 小儿麻醉学教育部重点实验室 浙江省麻醉学重点实验室,浙江温州 325027
- Publication Type:Journal Article
- Keywords:
Hip replacement;
Lumbar anesthesia;
Analgesia;
Ropivacaine;
Hip capsule block;
Fascia iliaca block
- From:
China Modern Doctor
2024;62(36):17-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the analgesic effects of ultrasound-guided hip capsule block and fascia iliaca block in elderly patients undergoing hip replacement surgery and their impacts on postoperative rehabilitation.Methods A total of 44 patients who underwent total hip replacement in the Second Affiliated Hospital of Wenzhou Medical University from May to December in 2023 were selected and divided into fascia iliaca block group(group F)and hip capsule block group(group H)according to the random number table,with 22 cases in each group.All patients were anesthetized by lumbar anesthesia combined with nerve block.The primary indicators included the recovery of lower limb muscle strength at 8h,24h,48h after operation and the rest and movement visual analogue scale(VAS)scores at each observation point.The secondary indicators were sufentanil consumption of analgesic pump,the number of compressions,the use rates of additional parecoxib sodium in ward,the length of hospital stay and the occurrence of adverse reactions.Results The recovery of lower limb muscle strength in group H was better than that in group F at 8h and 24h after operation,and the difference was statistically significant(P<0.05).The rest and movement VAS scores at 30min after block and 4h after operation in group H were significantly lower than those in group F(P<0.05),while there were no significant differences in the rest and movement VAS scores between two groups at other time points(P>0.05).The rest and movement VAS scores at each time point after blockade were lower than those before blockade in two groups(P<0.05).The sufentanil consumption in analgesic pump and the number of compressions in group H was lower than that in group F at 4h after operation(P<0.05),and there were no significant differences in analgesic pump data and the use rates of parecoxib sodium between two groups at subsequent time points(P>0.05).There were no statistically significant difference in the incidence of nausea within 48h after operation and hospital stay between two groups(P>0.05).Conclusion Both fascia iliaca block and hip capsule block can be safely and effectively used in elderly patients with hip replacement,but the analgesic effect of hip capsule block is faster,the early postoperative analgesic effect is better,and the impact on lower limb movement is less.
