超声引导下不同路径髂筋膜间隙阻滞在全膝关节置换术患者镇痛中的应用研究

目的 研究超声引导下不同路径髂筋膜间隙阻滞对全膝关节置换术患者阻滞麻醉及镇痛效果的影响.方法 收集我院单侧全膝关节置换术治疗患者92例,按随机数字表法均分为内测组和外侧组各46例,均在全麻下实施全膝关节置换术治疗,术前分别经内侧和外侧入路给予髂肌筋膜间隙阻滞,比较两组手术情况及术后镇痛效果.结果 两组手术时间、术中舒芬...

Application of ultrasound-guided fascia iliaca compartment block via different pathways to analgesia for patients with TKA surgery

Objective To investigate the effects of ultrasound-guided fascia iliaca compartment block(FICB)via different pathways on block anesthesia and analgesic effects of patients with total knee arthroplasty(TKA).Methods Ninety-two patients with unilateral TKA in our hospital were divided into lateral or medial group by using random number table method,46 in each group.All patients were treated with TKA under general anesthesia,and they were given FICB via lateral approach or medial approach before surgery.The surgical conditions and postoperative analgesic effects were compared between the two groups.Results There were no significant differences in the operative time,intraoperative sufentanil dosage,intraoperative blood loss,intraoperative urine volume and intraoperative infusion volume between the two groups(P>0.05).The catheterization time of puncture catheter in the medial group was significantly shorter than that in the lateral group(P<0.05)while the catheter placement depth and effective rate were significantly higher than those in the lateral group(P<0.05).The VAS score at 1 h,12 h and 24 h after surgery and the frequency of PCNA compression within 48 h after surgery in the medial group were significantly lower than those in lateral group(P<0.05).There was no statistically significant difference in incidence rates between the two groups(P>0.05).Conclusion FICB is an effective analgesic method for TKA surgery.It can effectively relieve postoperative pain.FICB via medial approach for TKA postoperative analgesia can shorten the catheterization time and reduce the risk of repeated catheterization and re-fixation,and improve the effective rate of block and analgesic effects.It is also conducive to reducing the dosages of analgesic drugs,and has certain advantages compared with the lateral approach.