[1]李杨华.超声引导下髋关节囊周围神经阻滞对髋关节置换术患者疼痛度与炎症应激反应的影响[J].医学信息,2024,37(21):66-69.[doi:10.3969/j.issn.1006-1959.2024.21.014]
　LI Yanghua.Effect of Ultrasound-guided Hip Capsule Peripheral Nerve Group Block on Pain and Inflammatory Stress Response in Patients Undergoing Total Hip Arthroplasty[J].Journal of Medical Information,2024,37(21):66-69.[doi:10.3969/j.issn.1006-1959.2024.21.014]
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超声引导下髋关节囊周围神经阻滞对髋关节置换术患者疼痛度与炎症应激反应的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
66-69
栏目:
论著
出版日期:
2024-11-01

文章信息/Info

Title:
Effect of Ultrasound-guided Hip Capsule Peripheral Nerve Group Block on Pain and Inflammatory Stress Response in Patients Undergoing Total Hip Arthroplasty
文章编号:
1006-1959（2024）21-0066-04
作者:
李杨华
婺源县人民医院麻醉科，江西 婺源 333200
Author(s):
LI Yanghua
Department of Anesthesiology,Wuyuan County People’s Hospital,Wuyuan 333200,Jiangxi,China
关键词:
髋关节置换术; 超声引导下髋关节囊周围神经阻滞; 炎症应激反应
Keywords:
Total hip arthroplasty; Ultrasound-guided pericapsular nerve group block; Inflammatory stress response
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2024.21.014
文献标志码:
A
摘要:
目的 探究超声引导下髋关节囊周围神经阻滞（PENGB）对髋关节置换术（THA）患者疼痛度与炎症应激反应的影响。方法 选取2020年7月-2023年7月婺源县人民医院拟行THA治疗的60例患者，经随机数字表法分为对照组（30例）与观察组（30例），对照组行超声引导下髂筋膜间隙阻滞方案，观察组应用超声引导下PENGB方案，比较两组疼痛程度[数字疼痛评分法（NRS）]、炎症应激反应[C-反应蛋白（CRP）、肾上腺素（A）]、椎管内麻醉操作时间、体位摆放满意度、术后苏醒质量（改良Aldrete评分）、麻醉不良反应。结果 观察组体位摆放即刻（T1）、体位摆放后（T2）时NRS评分均低于对照组（P＜0.05）；两组术中、术后CRP、A均高于术前，但观察组术中、术后CRP、A低于对照组（P＜0.05）；观察组椎管内麻醉操作时间短于对照组，体位摆放满意度、术后苏醒质量评分均高于对照组（P＜0.05）；观察组麻醉不良反应发生率为6.67%，低于对照组的26.67%（P＜0.05）。结论 超声引导下PENGB方案可有效减轻THA患者的围术期疼痛程度，缓解其炎症应激反应，且苏醒质量高、麻醉时间短、体位摆放满意度好、麻醉不良风险低。
Abstract:
Objective To investigate the effect of ultrasound-guided pericapsular nerve group block (PENGB) on pain and inflammatory stress response in patients undergoing total hip arthroplasty (THA).Methods A total of 60 patients who were scheduled to undergo THA in Wuyuan County People’s Hospital from July 2020 to July 2023 were selected and divided into control group (30 patients) and observation group (30 patients) by random number table method. The control group underwent ultrasound-guided fascia iliaca compartment block program, and the observation group applied ultrasound-guided PENGB program. The pain degree [digital pain score (NRS)], inflammatory stress response [C-reactive protein (CRP), epinephrine (A)], intraspinal anesthesia operation time, postural satisfaction, postoperative recovery quality (modified Aldrete score), and adverse reactions of anesthesia were compared between the two groups.Results The NRS scores of the observation group were lower than those of the control group at the time of position placement (T1) and after position placement (T2) (P<0.05). The intraoperative and postoperative CRP and A in the two groups were higher than those before operation, but the intraoperative and postoperative CRP and A in the observation group were lower than those in the control group (P<0.05). The operation time of intraspinal anesthesia in the observation group was shorter than that in the control group, and the satisfaction of position placement and postoperative recovery quality scores were higher than those in the control group (P<0.05). The incidence of adverse reactions to anesthesia in the observation group was 6.67%, which was lower than 26.67% in the control group (P<0.05).Conclusion Ultrasound-guided PENGB regimen can effectively reduce the perioperative pain of THA patients, relieve their inflammatory stress response, and has high recovery quality, short anesthesia time, good position satisfaction, and low risk of adverse anesthesia.

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更新日期/Last Update: 1900-01-01