摘要
Abstract
Objective To explore the effects of ultrasound guided fascia iliac compartment block (FICB) on postoperative analgesia after total knee arthroplasty(TKA).Methods A total of 60 patients with ASA Ⅰ-Ⅱ to receive TKA were divided into FICB group(group A,n=30) and normal saline group (group B,n=30) according to the analgesia method.Group A received high-frequency ultrasound guided FICB within 30 min after the operation (0.375％ ropivacaine,30 ml);group B were injected with normal saline,and then administered immediately with 0.01 mg/ml of sufentanil with patient-controlled intravenous analgesia (PCIA) till 48 h after the operation.The rest visual analogue score(RVAS),Ramsay sedation score and Bmggman comfort score (BCS) three hours,six hours,12 hours,24 hours,and 48 hours after the operation between the two groups were compared,so did the dose of sufentanil,pressing times for PCIA,patient satisfaction and adverse reaction rate 48 h after the operation between the two groups,Results The RVAS scores after three hours,six hours,12 hours,and 24 hours in group A were significantly lower than those in group B,while Ramsay scores and BCS scores were significantly higher than those in group B (P ＜ 0.05);the dose of sufentanil,effective pressing times,and total pressing times 48 h after the operation in group A were significantly lower than those in group B (P ＜ 0.05);the patient satisfaction after operation in group A was 93.33％,significantly higher than that in group B(56.67％)(P ＜ 0.05);the adverse reaction rate in group A was 6.67％,significantly lower than that in group B 26.67％ (P ＜ 0.05).Conclusion Ultrasound guided FICB can enhance the analgesic effect after TKA,reduce the dosage of opioids,and improve the postoperative comfort and satisfaction of patients,so it can be applied safely.关键词
膝关节/置换术/髂筋膜阻滞/术后/镇痛Key words
knee joint/replacement/fascia iliac block/postoperative/analgesia分类
医药卫生
