Application of hip capsule peripheral nerve block in early analgesia in elderly patients with hip fracture.

Jiangbo Zheng, Zhaoming Feng, Junfeng Zhu, Yuqing Kang
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Abstract

Objective: The objective of the study is to investigate the effect of pericapsular nerve group (PENG) block in early analgesia in elderly patients with hip fracture.

Methods: A total of 44 elderly patients with hip fracture admitted to our hospital from August 2021 to December 2022 were selected and divided into 2 groups according to different analgesia programs.

Results: At T1~T4, the resting and active visual analog scale (VAS) scores in group P were lower than group F (p < 0.05). The resting and active VAS scores at T5 in both groups were no visible differences (p > 0.05). After 30 min of block, systolic blood pressure, diastolic blood pressure, and heart rate were decreased in both groups (p < 0.05), but no obvious difference was found in the two groups (p > 0.05). Before surgery, Pittsburgh Sleep Quality Index (PSQI) and mini-mental state scale (MMSE) scores in both groups were reduced, and PSQI score in group P was lower than that in group F and MMSE score was higher than group F (p < 0.05).

Conclusion: PENG technology is safe and effective in the early analgesia of elderly hip fractures. It can effectively block physiological stress response caused by acute trauma, improve pre-operative sleep quality, and reduce the incidence of cognitive dysfunction.

髋关节囊周围神经阻滞在老年髋部骨折患者早期镇痛中的应用。
研究目的方法:选取我院2021年8月至2022年12月收治的44例老年髋部骨折患者为研究对象,按照不同的镇痛方案分为2组:选取我院2021年8月至2022年12月收治的44例老年髋部骨折患者,按照不同的镇痛方案分为2组:在T1~T4,P组的静息和活动视觉模拟量表(VAS)评分均低于F组(P<0.05)。两组在 T5 时的静息和活动 VAS 评分无明显差异(P > 0.05)。阻滞 30 分钟后,两组收缩压、舒张压和心率均下降(P < 0.05),但两组无明显差异(P > 0.05)。术前,两组的匹兹堡睡眠质量指数(PSQI)和迷你精神状态量表(MMSE)评分均有所下降,P组的PSQI评分低于F组,MMSE评分高于F组(P<0.05):结论:PENG技术在老年髋部骨折的早期镇痛中安全有效。结论:PENG 技术在老年髋部骨折早期镇痛中安全有效,能有效阻断急性创伤引起的生理应激反应,改善术前睡眠质量,降低认知功能障碍的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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