Preoperative analgesia for hip fracture
Conditions
Interventions
Group C:After admission, relevant contraindications were excluded and PCIA analgesia was used. The formula was 2ug/kg sufentanil+10mg tropisetron, diluted with physiological saline to 100ml, with a ba
Group B:Perform ultrasound guided PENG block, using local anesthetic: 15ml of bupivacaine liposome+ 5ml of 0.9% NS, with a total amount of 20ml. After observing for 0.5 hours to confirm no adverse rea
Sponsors
Fujian provincial hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1) Patients with hip fractures (femoral neck fractures, intertrochanteric fractures) who plan to undergo surgical treatment; 2) Individuals aged = 65 years old, regardless of gender; 3) Body mass index (BMI) 18.5-30 kg/m2; 4) Patients with a VAS score of = 4 for exercise; 5) The American Society of Anesthesiologists (ASA) is classified as Grade I-III; 6) Voluntarily sign an informed consent form.
Exclusion criteria
Exclusion criteria: 1) Those who do not understand or refuse to participate in the experiment; 2) Individuals who are allergic to bupivacaine and bupivacaine liposomes; 3) Those who have used pain medication within 24 hours before surgery; 4) Patient's VAS score for exercise is less than 4 points; 5) Individuals with contraindications to PENG blocks, NSAIDs, and opioid drugs; 6) After admission, all patients were evaluated for their basic cognitive function using the Mini Mental State Examination (MMSE) (with a maximum score of 30, scores ranging from 27 to 30 indicating normal, and scores less than 27 indicating cognitive impairment). Patients with MMSE scores less than 24 were evaluated; 7) Infection at the puncture site or inability to distinguish anatomical structures or determine surface positioning points under ultrasound; 8) History of peripheral neuropathy; 9) Coagulation dysfunction; 10) After completing the basic laboratory examination, the anesthesiologist of the anesthesia research group will evaluate those who have contraindications to surgical anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting and exercise pain scores;Quadriceps muscle strength; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cycle indicators;Use of analgesic drugs;Sleep quality score;The time from injury to surgery;The time from surgery to discharge;Hospitalization days;Medical expense;Complications; | — |
Countries
China
Contacts
Public ContactXiaochun Zheng
Fujian provincial hospital
Outcome results
None listed