持续髂筋膜间隙阻滞用于股骨粗隆间骨折术后镇痛的效果

Efficacy of continuous fascia iliaca compartment block for post-operative analgesia in the patients with femoral intertrochanteric fracture

目的评价髂筋膜间隙置管持续性阻滞用于股骨粗隆间骨折患者的术后镇痛效果。方法行股骨粗隆间骨折内固定术患者60例，采用髂筋膜间隙置管持续阻滞作为术后镇痛的主要手段，观察术后各时点VAS评分及并发症和使用补充镇痛例数。结果术后疼痛均有效缓解，VAS〈2，但需要补充镇痛者有24例（40．0％），患者术后出现谵妄者有10例（16．7％）。结论髂筋膜间隙置管持续阻滞可有效缓解股骨粗隆间骨折术后疼痛。

Objective To evaluate the efficacy of continuous fascia iliaca compartment block for post-operative analgesia in the patients with femoral intertrochanteric fracture. Methods Sixty patients with femoral intertrochanteric fracture, undergoing open reduction and internal fixation, received continuous iliaca compartment block as post-operative analgesia. VAS at each time points, complications and the number of patients required additional analgesics were recorded postoperatively.Results Postoperative pain of all patients was effectively alleviated, VAS〈2. However, there were 24 cases （40%） required additional analgesics, 12 cases （20%） with delirium. Conclusion Effectively analgesic efficacy for patients after the operation of femoral intertrochanteric fracture can be provided with continuous fascia iliaca compartment block.