Efficacy of ultrasound-guided femoral nerve block for preoperative analgesia in elderly patients with hip fracture
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 8
Abstract
Objective To compare the efficacy of ultrasound-guided femoral nerve block and oral celecoxib for preoperative analgesia in elderly patients with hip fractures. Methods Sixty-eight elderly patients with hip fracture surgery treated at the 908th Hospital of Joint Logistics Support Force from January 2019 to June 2022 were selected and randomly divided into two groups: the experimental group (femoral nerve block) and the control group (oral celecoxib), with 34 cases in each group. The experimental group received a 20 mL 0.3% ropivacaine for femoral nerve block under ultrasound guidance, while the control group was given celecoxib capsules (0.2 g, twice daily). Visual analog scores (VAS) were compared between the two groups at 10 minutes before intervention, 30 minutes after intervention, 2 hours after intervention, and 10 minutes before surgery. Complications such as nausea, vomiting, dizziness, and adverse drug reactions were also recorded. Results There was no significant difference in VAS scores between the two groups before intervention (P＞0.05). In the experimental group, VAS scores gradually decreased over time (P＜0.05). In the control group, VAS scores at each time point after intervention were lower than before intervention, with a higher score 10 minutes before surgery (3.85±1.11) compared to 2 hours after intervention (3.24±1.02). The experimental group had lower VAS scores at all time points after intervention compared to the control group (P＜0.05). The incidence of adverse reactions in the experimental group was lower than that in the control group(17.6% vs41.2%, χ2=4.53，P＜0.05）. Conclusion Both ultrasound-guided femoral nerve block and oral celecoxib can alleviate preoperative pain in elderly patients with hip fractures, but ultrasound-guided femoral nerve block is safer and can sustain pain relief.
Authors and Affiliations
GUO Chaojian*, HU Wei, XU Min, ZHAO Lan, MENG Haibing, LI Hao, SHUANG Feng （*Department of Orthopedic Surgery, the 908th Hospital of the Joint Logistics Support Force of PLA, Nanchang, Jiangxi 330002, China）
Keywords
Related Articles
- EP ID EP743095
- DOI 10.13429/j.cnki.cjcr.2024.08.012
- Views 14
- Downloads 0
Effect of esketamine combined with serratus anterior plane block on postoperative analgesia after modified radical mastectomy for breast cancer
Objective To explore the effects of esketamine combined with serratus anterior plane block (SAPB) on postoperative analgesia, anxiety and depression in patients with breast cancer undergoing modified radical mastectomy....
Research progress on the index of consciousness 2 in pain management
Effective perioperative pain management is essential for accelerating recovery and minimizing adverse events, in which sensitive and reliable pain monitoring plays an indispensable role. The index of consciousness (IoC)...
Relationship between gut microbiota and hepatocellular carcinoma through two-sample Mendelian randomization study
Objective To investigate the potential association between 221 types of gut microbiota and hepatocellular carcinoma (HCC) using a two-sample Mendelian randomization approach, providing insights for the prevention and tre...
Research progress of amino acid metabolism regulating PI3K/AKT/mTOR signaling pathway in gastric cancer
In the tumor microenvironment, amino acids are important nutrients constituting immune cells and tumor cells. Some proteins or key enzymes in the metabolism process are expected to become tumor diagnostic markers or ther...
Research progress in targeted therapy for gastric cancer
Gastric cancer is a common malignant tumor worldwide, and its incidence rate and mortality have always been in the forefront. Most gastric cancer patients in China are diagnosed in the middle or late stages, with an unsa...