[1]钱 庆,王 亮,夏书江,等.超声引导下髋关节囊周神经阻滞对老年髋部骨折患者术后睡眠质量的影响[J].医学信息,2022,35(12):149-152.[doi:10.3969/j.issn.1006-1959.2022.12.036]
 QIAN Qing,WANG Liang,XIA Shu-jiang,et al.Effect of Ultrasound-guided Pericystic Nerve Block on Postoperative Sleep Quality in Elderly Patients with Hip Fracture[J].Medical Information,2022,35(12):149-152.[doi:10.3969/j.issn.1006-1959.2022.12.036]
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超声引导下髋关节囊周神经阻滞对老年髋部骨折患者术后睡眠质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年12期
页码:
149-152
栏目:
论著
出版日期:
2022-06-15

文章信息/Info

Title:
Effect of Ultrasound-guided Pericystic Nerve Block on Postoperative Sleep Quality in Elderly Patients with Hip Fracture
文章编号:
1006-1959(2022)12-0149-04
作者:
钱 庆王 亮夏书江
(安徽医科大学附属巢湖医院麻醉科,安徽 巢湖 238000)
Author(s):
QIAN QingWANG LiangXIA Shu-jianget al.
(Department of Anesthesiology,Chaohu Hospital of Anhui Medical University,Chaohu 238000,Anhui,China)
关键词:
髋部骨折镇痛髋关节囊周神经阻滞睡眠质量
Keywords:
Hip fractureAnalgesiaHip pericapsular nerve blockSleep quality
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2022.12.036
文献标志码:
A
摘要:
目的 观察超声引导下髋关节囊周神经阻滞麻醉对老年髋部骨折手术后患者睡眠质量的影响。方法 收集我院2020年1月-12月拟行择期髋部骨折手术的患者90例,采用随机数字表法分为A、B、C三组,每组30例。A组为空白对照组,B组行超声引导下髋关节囊周神经阻滞,C组行超声引导下髂筋膜间隙阻滞组。比较三组不同时间[术前1天(T0)、术后1天(T1)、术后3天(T2)、术后7天(T3)、术后2周(T4)、术后1个月(T5)]的VAS评分、匹兹堡睡眠质量指数(PSQI)评分、阿森斯失眠自评量表(AIS)评分、康复质量评分量表-15(QoR-15)评分、术后首次下床时间、术中阿片类药物使用量,以及不良反应发生情况。结果 B组术后T1、T2睡眠质量及术后的恢复情况均优于A组和C组(P<0.05);B组和C组的T1、T2的静息VAS评分低于A组(P<0.05);B组首次下床活动时间早于A组和C组(P<0.05);B组和C组术中阿片类药物使用量少于A组(P<0.05);三组不良反应发生率比较,差异无统计学意义(P>0.05)。结论 超声引导下髋关节囊周神经阻滞较髂筋膜间隙阻滞的镇痛效果更好,有助于改善髋部骨折患者术后的睡眠质量,使患者能早期下床活动,促进术后康复。
Abstract:
Objective To observe the effect of ultrasound-guided pericystic nerve block anesthesia on postoperativesleep quality of elderly patients with hip fracture.Methods A total of 90 patients undergoing elective hip fracture surgery in our hospital from January to December 2020 were collected and randomly divided into A, B and C groups, with 30 cases in each group. Group A was the blank control group, group B underwent ultrasound-guided pericapsular nerve block, and group C underwent ultrasound-guided iliac fascia space block. The VAS scoreat different times [1 day before operation (T0), 1 day after operation (T1), 3 days after operation (T2), 7 days after operation (T3), 2 weeks after operation (T4) and 1 month after operation (T5)], Pittsburgh Sleep Quality Index (PSQI) score, Arsenal Insomnia Self-Rating Scale (AIS) score, Quality of Rehabilitation Scale-15 (QoR-15) score, the first time of getting out of bed, the use of opioids during operation and the incidence of adverse reactions were compared between the three groups.Results The postoperative sleep quality at T1 and T2 and postoperative recovery in group B were better than those in group A and group C(P<0.05). The resting VAS scores at T1 and T2 in group B and group C were lower than those in group A(P<0.05). The first ambulation time of group B was earlier than that of group A and group C(P<0.05). The use of opioids in group B and group C was less than that in group A(P<0.05).There was no significant difference in the incidence of adverse reactions among the three groups (P>0.05).Conclusion Ultrasound-guided pericystic nerve block has better analgesic effect than iliac fascia space block, which is helpful to improve the sleep quality of patients with hip fracture, so that patients can get out of bed early and promote postoperative rehabilitation.

参考文献/References:

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更新日期/Last Update: 1900-01-01