hip fracture
Conditions
Interventions
Group P:Ultrasound-guided nerve block around the hip joint capsule, a single injection of 0.33% ropivacaine 20ml
Group C:Ultrasound-guided nerve block around the hip joint capsule, a single injection of 20ml of normal saline
Sponsors
Fujian Provincial Hospital South Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. PFNA internal fixation was performed for intertrochanteric fractures of the femur; 2. BMI (Body Mass Index, body mass index) <= 30kg/m^2; 3. Aged between 65-80 years; 4. ASA classification 1-3; 5. The educational level is not lower than primary school, and the preoperative MMSE score is more than 24 points.
Exclusion criteria
Exclusion criteria: 1. Local anesthetic allergy; 2. Infection at the puncture site or variation of anatomical structure; 3. Those with severe neuropsychiatric disease who cannot cooperate; 4. PENGB block loser; 5. The patient refuses to participate in the study; 6. Obvious abnormal cardiopulmonary function, liver function and renal function before operation; 7. Long-term use of analgesics; 8. Abnormal motor sensation of both lower extremities; 9. Those with coagulation dysfunction before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative acute pain at rest and in motion;Simple Mental State Examination Scale Score;Incidence of postoperative cognitive dysfunction (POCD); | — |
Secondary
| Measure | Time frame |
|---|---|
| General condition of the patient;Mean arterial pressure;Heart rate;Postoperative cumulative opioid consumption;Blocking operation time;Whether the patient has systemic reactions to local anesthetics such as arrhythmia, nausea and vomiting;With or without puncture hematoma, nerve injury and other nerve block complications;Postoperative nausea and vomiting and other adverse reactions;IL-6; | — |
Countries
China
Contacts
Public ContactWu Xiaodan
Outcome results
None listed