Objective: To investigate the impact of ultrasound-guided fascia iliaca compartment block(FICB) site selection on serum pain-related indicators, stress indicators and prognosis of patients after total hiparthroplasty(THA).Methods: A total of 92 patients who undergo THAwere selected. According to the location of FICB after operation, they were divided into the study group and the control group,46 cases in each. The study group received FICB analgesia above the inguinal ligament and the control group received FICB analgesia under the inguinal ligament.The clinical efficacy differences between the two groups were compared.Results: The number of patient-controlled analgesia, sufentanil consumption and the incidence of adverse reactions in the study group within 72 hours after surgery were significantly lower than those in the control group(P<0.05); The success rates of sensory block on obturator nerve and lateral femoral cutaneous nerve in the study group were significantly higher than those in the control group, serum pain-related indicators andstress indicatorsin the study group were better than those in the control group, the scores of quality of life in the study group were higher than those in the control group(all P<0.05).Conclusion: The effects of FICB analgesia above the inguinal ligament are better than FICB under the inguinal ligament. It can reduce the postoperative stress response and improve the quality of life of THA patients, which is worthy of clinical application. |
[1] 李静,董补怀,吴续才,等.股神经-坐骨神经联合阻滞在全膝关节置换术中对止血带反应及术后疼痛的影响[J].中国医学科学院学报,2015,37(6):641-644.
[2] 梅迎雪,闫树英,乔慧,等.多模式镇痛对人工全膝关节置换术后患者疼痛及功能康复的影响[J].宁夏医科大学学报,2016,38(9):1032-1034.
[3] 蔡炜,唐旭东,陈捷,等.多模式镇痛在全膝关节置换术中的临床疗效及对应激反应的影响[J].四川医学,2015,36(3):371-373.
[4] NIE H,YANG Y X,WANG Y,et al.Effects of continuous fascia iliaca compartment blocks for postoperative analgesia in patients with hip fracture[J].Pain Res Manag,2015,20(4):210-212.
[5] 李莉,陈立典,陈善佳,等.中文版SF-36用于评价亚急性脑卒中患者生存质量的信度和效度[J].中国康复医学杂志,2017,32(5):509-515.
[6] BANG S,CHUNG J,JEONG J,et al.Efficacy of ultrasound-guided fascia iliaca compartment block after hip hemiarthroplasty:a prospective,randomized trial[J].Medicine(Baltimore),2016,95(39):e5018.
[7] YU B,HE M,CAI G Y,et al.Ultrasound-guided continuous femoral nerve block vs continuous fascia iliaca compartment block for hip replacement in the elderly:a randomized controlled clinical trial(CONSORT)s[J].Medicine(Baltimore),2016,95(42):e5056.
[8] 刘磊,丁娟,刘经纬.腰丛-坐骨神经联合臀上皮神经阻滞麻醉与腰麻硬膜外联合麻醉用于髋关节置换术的临床效果观察[J].临床外科杂志,2016,24(9):706-708.
[9] 钟剑平,何绍旋.B超引导下腰丛-坐骨神经阻滞对老年髋关节置换术应激反应及术后镇痛的影响[J].临床和实验医学杂志,2017,16(12):1234-1237.
[10] 赵良军,劳山,赵劲民,等.局部灌注氨甲环酸对全髋关节置换术围手术期隐性失血量及炎症因子的影响[J].广西医科大学学报,2017,34(4):546-549.
[11] 张立敏.右美托咪啶在高龄患者腰丛联合坐骨神经阻滞下全髋关节置换术中的辅助效果观察[J].河北医学,2015,25(12):2024-2026.
[12] 蒋嘉,温洪,周权,等.不同镇痛方法对膝关节置换术术后疼痛和功能恢复的影响[J].临床麻醉学杂志,2014,30(5):437-440. |