B超引导下髂筋膜间隙阻滞用于髋关节置换术临床分析

目的探讨B超引导下髂筋膜间隙阻滞在髋关节置换术后镇痛效果及对术后康复的影响。方法回顾性分析34例接受髋关节置换术患者的临床资料,随机分为观察组与对照组,各17例。对照组患者于手术时接受静脉镇痛泵,观察组患者行髂筋膜间隙阻滞。结果两组患者手术时间无统计学差异(P>0.05);观察组拔管时间和拨管后镇静评分均优于对照组(P<0.05);观察组患者术后6,12,24h疼痛视觉模拟评分(VAS)均显著低于对照组(P<0.05),术后48h评分差异不明显(P>0.05);观察组不良反应发生率为17.65%,低于对照组的35.29%(P<0.05)。结论对于髋关节置换术患者,在B超引导下行髂筋膜间隙阻滞可显著缓解患者的术后疼痛,减少术后不良反应,有效促进康复。

Objective To investigate the analgesic effect of iliac fascial space block guided by B-ultrasound after hip arthroplasty and its influence on postoperative rehabilitation.Methods The clinical data of 34 patients undergoing hip arthroplasty were retrospectively analyzed.They were randomly divided into the observation group and the control group,17 cases in each group.The control group received intravenous analgesia pump during operation,and the observation group received iliofascial space block.The operation time,extubation time,sedation score after extubation and VAS score of the two groups were compared.Results There was no significant difference in operation time between the two groups(P>0.05).The time of extubation and the sedation score after extubation in the observation group were better than those in the control group(P<0.05).The VAS scores of the observation group was significantly lower than those of the control group at 6,12,24 h after operation(P<0.05),and there was no significant difference between the two groups at 48 h after operation(P>0.05).The incidence rate of adverse reactions in the observation group was 17.65%,which was significantly lower than 35.29%in the control group(P<0.05).Conclusion Iliac fascial space block guided by B-ultrasound can significantly alleviate postoperative pain,reduce the incidence of adverse reactions,and effectively promote the rehabilitation of patients with hip replacement surgery.