| 杨曙光,陶红,陈超,等.超声引导髋关节囊周围神经阻滞在老年髋部骨折病人术前镇痛中的应用.骨科,2020,11(2): 140-142. |
| 超声引导髋关节囊周围神经阻滞在老年髋部骨折病人术前镇痛中的应用 |
| Ultrasound-guided pericapsular nerve group block applied for preoperative analgesia in elderly patients with hip fractures |
| 投稿时间：2019-10-29 |
| DOI：10.3969/j.issn.1674-8573.2020.02.009 |
| 中文关键词: 超声 髋关节囊周围神经阻滞 麻醉，脊椎 骨折 关节成形术，置换，髋 老年人 |
| 英文关键词: Ultrasound Pericapsular nerve group block Anesthesia, spinal Fractures Arthroplasty, replacement, hip Aged |
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| 中文摘要: |
| 目的 初步探讨超声引导髋关节囊周围神经阻滞用于老年髋部骨折病人术前镇痛的效果。方法 收集2019年3月至7月共22例拟在腰麻下行髋关节置换术的老年髋部骨折病人，均于腰麻前接受超声引导髋关节囊周围神经阻滞，记录神经阻滞操作所需时间，比较病人阻滞前、阻滞后5 min及翻身侧卧时的静息与运动状态下数字化疼痛量表（numeric rating pain scale, NRS）评分。结果 超声引导髋关节囊周围神经阻滞操作用时为（19.9±2.6） s。22例病人阻滞前的静息、运动状态下NRS评分分别为（4.3±0.9）分、（7.3±0.8）分；阻滞后5 min时分别为（1.7±0.6）分、（2.8±0.6）分；翻身侧卧时分别为（1.6±0.5）分、（3.0±0.7）分。阻滞后5 min、翻身侧卧时的静息与运动状态下NRS评分均较阻滞前明显降低，差异均有统计学意义（P均＜0.05）。结论 本研究初步表明超声引导髋关节囊周围神经阻滞可有效用于老年髋部骨折病人的术前镇痛。 |
| 英文摘要: |
| Objective To investigate the effect of ultrasound-guided pericapsular nerve group block on pain relief of elderly patiens with hip fractures. Methods A total of 22 elderly patients with hip fractures who were scheduled to undergo hip replacement under spinal anesthesia were selected to receive ultrasound-guided pericapsular nerve group block first. The time required for nerve block performance was recorded, and patients' rest and motor numeric rating pain scale (NRS) pain scores were compared before and 5 min after the nerve block, and when turning over and lying lateral decubitus. Results The nerve block performance time was (19.9±2.6) s. The patients' rest and motor NRS pain scores were 4.3±0.9 and 7.3±0.8 before block, 1.7±0.6 and 2.8±0.6 5 min after block, 1.6±0.5 and 3.0±0.7 when turning over and lying lateral decutibtus, respectively. The NRS pain scores were significantly lower at 5 min after block and when turning over and lying lateral decubitus than that before block. Conclusion This preliminary study indicated that ultrasound-guided pericapsular nerve group block can be effectively used for preoperative analgesia in elderly patients with hip fractures. |
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