Comparison of pericapsular nerve group block and fascia iliaca compartment block for analgesia following hip fracture surgery: a meta-analysis
10.3760/cma.j.cn131073.20221211.00112
- VernacularTitle:髋关节囊周围神经阻滞与髂筋膜阻滞用于髋部骨折术后镇痛的效果比较：meta分析
- Author:
Chunrong LI
1
;
Zaiying LIU
;
Meng CHEN
;
Chunlin SONG
;
Xinyu MA
;
Xuan ZHOU
Author Information
1. 牡丹江医学院第一临床医学院，牡丹江 157000
- Keywords:
Hip joint;
Nerve block;
Fascia;
Hip;
Fractures;
Analgesia;
Meta-analysis
- From:
Chinese Journal of Anesthesiology
2023;43(1):56-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically compare the analgesic efficacy of pericapsular nerve group (PENG) block and fascia iliaca compartment block (FICB) after hip fracture surgery.Methods:Databases including Pubmed, Embase, Cochrane, CNKI, Wanfang and VIP were searched for randomized controlled trials involving comparison of the analgesic efficacy of PENG block and FICB after hip fracture surgery from inception to August 2022. The primary outcome was the postoperative pain score, and the secondary outcome was the amount of postoperative analgesics and incidence of postoperative adverse reactions. The data were analyzed using Revman 5.4 software.Results:Eight studies were included ( n=374), and the pain score at rest 30 min after block was significantly lower in PENG group than in FICB group ( MD=-0.35, 95% CI -0.60--0.11, I2=14%, P<0.05). There was no statistically significant difference between PENG group and FICB group in pain scores at rest and during activity at 6, 12, 24 and 48 h after operation ( P>0.05). Compared with FICB group, the amount of analgesics used was significantly reduced at 24 and 48 h after operation in PENG group ( MD=-9.10, 95% CI -19.11-0.91, I2=95%, P<0.05). There was no statistically significant difference in the incidence of adverse reactions after operation between the two groups ( P>0.05). Conclusions:PENG block provides better efficacy when used for analgesia following hip fracture than FICB.
