Intertrochanteric fracture of the femur
Conditions
Interventions
B:Fascia iliac block with 0.5mg butorphanol combined with ropivacaine
C:Fascia iliac block with 1mg butorphanol combined with ropivacaine
A:Fascia iliaca block with ropivacaine
D:Fascia iliac block with 1.5mg butorphanol combined with ropivacaine
Sponsors
Fuzhou Changle District People's Hospital
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1 .Sex is not limited age >=60 years old; 2.Clear history of trauma post-injury manifestations such as joint pain swelling and activity limitation X-ray or MRI examination suggesting intertrochanteric fracture of the femur and indications for closed reduction intramedullary nail internal fixation of femur fracture surgery; 3. American Society of Anesthesiologists (ASA) grade I to III; 4. No serious diseases of the heart brain lungs liver kidneys and other organs; 5. Each patient could understand and accurately judge the visual analog score (VAS) of pain; 6.Each patient had no history of sedative-analgesic drug abuse or drug exposure.
Exclusion criteria
Exclusion criteria: 1.Body mass index (BMI) > 30 kg/ m^2; 2.Compound other parts of the pathological fracture or rheumatoid arthritis; 3.Compound craniocerebral injury systemic infection and localized osteomyelitis etc; 4.Patients with infection skin damage or hematoma at the puncture site; 5.Poor basic condition unable to tolerate surgery or high risk of surgery; 6.History of allergy to amide local anesthetics; 7.Have taken hormonal drugs analgesic drugs and drugs interfering with adrenal function anti-sympathetic nerves or psychotropic drugs in the past six months; 8. Concomitant psychiatric disorders or cognitive impairment or communication difficulties; 9.Patients with sinus bradycardia and atrioventricular block; 10 .Patients taking long-term ß-blockers; 11. Patients with coagulation disorders: activated partial thrombin time (APTT) prothrombin time (PT) >1.5 times the upper limit of normal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of rest analgesia;Duration of passive movement analgesia; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS scores at rest after 6h,8h,12h,24h,48h of fascia iliaca block;VAS scores during passive movement after 6h,8h,12h,24h,48h of fascia iliaca block;Ramsay sedation score after 6h,8h,12h,24h,48h of fascia iliacus block;The incidence of postoperative adverse reactions (sinus bradycardia hypotension nausea vomiting hypoxemia etc.);The first time to get out of bed after operation;The number of effective compressions of intravenous analgesia pump within 48 hours;Dose of rescue analgesics;Length of stay in hospital; | — |
Countries
China
Contacts
Public ContactYunyun Xu
Fuzhou Changle District People's Hospital
Outcome results
None listed