Hip fracture in elderly patients
Conditions
Interventions
Group Q:anterior iliopsoas muscle space block
Group C:subarachnoid block
Minimum effective concentration group:anterior iliopsoas muscle space block
Minimum effective capacity group:anterior iliopsoas muscle space block
Sponsors
Affiliated Hospital of Jiangsu University
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients who are scheduled for elective surgical treatment of hip fractures, the types of surgery include total hip replacement or hemi-hip replacement, PFNA (proximal femoral anti-rotation intramedullary nail fixation), American Society of Anesthesiologists (ASA) grade II to III ; 2. Aged >= 65 years, BMI 18-25; 3. Agree to receive preventive analgesia; 4. Voluntary participation in research.
Exclusion criteria
Exclusion criteria: 1. Significant cognitive impairment was found in the preoperative visit (MMSE score (see Table 2) illiterate < 17 points, primary school < 20 points, junior high school and above <24 points); 2. History of hip surgery; 3. History of opioid or alcohol abuse; 4. History of chronic pain; 5. Nervous system diseases; 6. Severe visual impairment; 7. Anemia (Hb < 80g/L), coagulation disorder; 8. Inability to communicate effectively with doctors; 9. Voluntary withdrawal study; 10. Patients with underlying diseases such as heart failure, severely reduced respiratory function, severe arrhythmia, poorly controlled hypertension and diabetes before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS score;Plasma glucocorticoid concentration;Perioperative delirium incidence; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep quality;PCIA press number;Adverse effects associated with analgesias;Heart rate;Mean arterial pressure; | — |
Countries
China
Contacts
Public ContactMa Peng
Affiliated Hospital of Jiangsu University
Outcome results
None listed