Chronic postsurgical pain
Conditions
Interventions
Experimental group :Sacral erector spinae block was performed under ultrasound guidance at the level of the second posterior sacral foramen, and 20ml of 0.25% ropivacaine was injected.
control group:No nerve block was given after general anesthesia in the same way.
Sponsors
920th Hospital of the Joint Logistics Support Force
Eligibility
Sex/Gender
All
Age
18 Years to 79 Years
Inclusion criteria
Inclusion criteria: 1.Total hip arthroplasty with unilateral primary posterolateral approach incision under general anesthesia; 2.Age 18-79 years old; 3.ASAI—? class.
Exclusion criteria
Exclusion criteria: 1. Morbid obesity (BMI>35 kg/m²); 2. Emergency hip replacement; 3. Local anesthetic allergy; 4. Severe coagulopathy (PLT=13%); 7. Have a history of taking analgesic drugs (such as aspirin, celecoxib, ibuprofen, morphine, etc.) for more than 3 months; 8. Those who are unable to use PCA correctly or fail to understand the use of PCA (self-pressing the medication button according to the degree of pain and increasing the dose of painkiller medication pumped); 9. Refusal to participate in this experiment; 10. Severe impaired liver function (alanine aminotransferase (ALAT) or aspartate aminotransferase (ASAT) >100 IU/L or known cirrhosis or liver transplantation); 11. Severe renal impairment (glomerular filtration <30mL/min) or previous kidney transplantation or renal dialysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NRS scores at 12 h, 24 h, and 48 h after extubation at rest and passive motion of the hip joint on the surgical side were evaluated.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Remifentanil consumption during operation;PCA pressing times of analgesia pump and sufentanil consumption of analgesia pump within 48 hours after operation;Additional Analgesic Drugs in Recovery Room;At 48 h after operation, 15 quality of recovery scales ( QoR-15T ) were evaluated.;Proportion of patients requiring remedial medication after surgery;Postoperative 24 h, 48 h lower limb motor block and block range ( modified Bromage score ); Length of hospital stay;First standing time and time to get out of bed; | — |
Countries
China
Contacts
Public ContactLi Zhigui
People's Liberation Army Joint Logistic Support Force 920th Hospital
Outcome results
None listed