摘要
目的探讨术前髂筋膜间隙阻滞持续镇痛在老年髋部骨折患者中的应用效果。方法选取2019年8月至2020年9月于湖北航天医院收治的82例老年髋部骨折患者作为研究对象,采用随机摸球法将其分成A组与B组,每组41例。A组采用术前髂筋膜间隙阻滞持续镇痛,B组采用术前地佐辛间断镇痛。比较两组患者的认知功能、疼痛程度、睡眠质量。结果两组术后24 h的简易智能精神状态检查量表(MMSE)评分低于本组入院时,而A组术后24 h的MMSE评分高于B组,差异有统计学意义(P<0.05);两组术后12 h的视觉模拟评分法(VAS)评分低于本组入院时,且A组术后12 h的VAS评分低于B组,差异有统计学意义(P<0.05);A组术前1 d、术后1 d、术后2 d的里兹睡眠问卷(LSEQ)评分均高于B组,差异有统计学意义(P<0.05)。结论老年髋部骨折患者给予术前髂筋膜间隙阻滞持续镇痛效果较好,对患者术后认知功能影响较轻,可减轻其疼痛感受,改善患者围手术期睡眠质量。
Objective To investigate the effect of preoperative continuous analgesia of iliac fascia space block in elderly patients with hip fracture.Methods A total of 82 elderly patients with hip fracture admitted in Hubei Aerospace Hospital from August 2019 to September 2020 were selected as the research objects,and they were divided into group A and group B by random ball touch method,with 41 cases in each group.Group A was used preoperative iliac fascial space block for continuous analgesia,and group B was used preoperative disocine for intermittent analgesia.The cognitive function,pain degree and sleep quality of the two groups were compared.Results The mini-mental state examination(MMSE)score of both groups was lower than that of this group at admission 24 h after surgery,the MMSE score of group A was higher than that of group B at 24 h postoperatively,the differences were statistically significant(P<0.05).The visual analog scale(VAS)score of the two groups 12 h after surgery was lower than that of the group at admission,and the VAS score of group A 12 h after surgery was lower than that of group B,the differences were statistically significant(P<0.05).The Leeds sleep evaluation questionaire(LSEQ)score of group A was higher than that of group B on preoperative day 1,postoperative day 1 and postoperative day 2,the differences were statistically significant(P<0.05).Conclusions Preoperative iliac fascial space block has better continuous analgesia effect in elderly patients with hip fracture,and has little effect on postoperative cognitive function,which can reduce their pain sensation,improve the sleep quality of patients during the perioperative period.
作者
秦小甜
QIN Xiaotian(Department of Anesthesiology,Hubei Aerospace Hospital,Hubei Province,Xiaogan432000,China)
出处
《中国当代医药》
CAS
2022年第12期106-108,113,共4页
China Modern Medicine
关键词
老年髋部骨折
术前持续镇痛
髂筋膜间隙阻滞
认知功能
疼痛程度
睡眠质量
Elderly hip fracture
Preoperative continuous analgesia
Iliac fascial space block
Cognitive function
Degree of pain
Sleep quality
