Knee or hip disease
Conditions
Interventions
Continuous nerve block group:Postoperative PCNA was performed, with patients undergoing hip arthroplasty receiving continuous iliac fascia plane block and patients undergoing knee
Single LB nerve block group:Postoperative single nerve block was performed, with hip replacement patients receiving iliac fascia plane block and knee replacement patients receivi
Intravenous analgesia group:PCIA was performed postoperatively, and the drug formula was sufentanil 250ug + dexmedetomib 200ug plus normal saline diluted to 250ml, loading dose: 0.05µg/kg
Background dose: 0.04 µg/(kg?h)
Single shock dose: 0.01µg/kg
The locking time is 15min. Both PCNA and PCIA last three days
Sponsors
Department of Anesthesiology, The Second Affiliated Hospital of Guangxi Medical University
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1: Age = 60 years old, regardless of gender 2: ASAI - Level III 3: Patients undergoing elective tracheal intubation and general anesthesia for knee or hip replacement surgery 4: BMI 18-40kg/m2 5: Sign an informed consent form and voluntarily participate in this study
Exclusion criteria
Exclusion criteria: 1: Individuals who are allergic to local anesthetic drugs 2: Infected individuals at the puncture site 3: Diseases of important organ systems 4: Those with preoperative CAM evaluation = 20 points 5: Abuse or long-term use of anesthetic, sedative, and analgesic drugs 6: Researchers believe that subjects with any other unfavorable factors to participate in this trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| confusion assessment method, CAM scale scores;Quality of Requirements-15 (QoR-15) scores at 24h, 48h and 72h after surgery;VAS scores at rest and passive exercise at 6h, 12h, 24h, 48h and 72h after surgery;Basic information; | — |
Secondary
| Measure | Time frame |
|---|---|
| The number of postoperative remedial analgesia;The first time to get out of bed after surgery;Length of stay;Nerve block related adverse events;Postoperative complication; | — |
Countries
China
Contacts
Public ContactXian Haiyan
Second Affiliated Hospital of Guangxi Medical University
Outcome results
None listed