Hip fracture
Conditions
Interventions
Trial group:Ultrasound-guided fascia iliaca block(0.33%Ropivacaine)
Parecoxib sodium 40 mg iv
Dexamethasone 10mg
Ondansetron 4mg
Nutritional supplements (from the day before surgery until hospitalizat
Control group:General management plan
Sponsors
Affiliated hospital of chengdu university
Eligibility
Sex/Gender
All
Age
50 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age 50–90 years (age selection based on previous research foundation, NRS-2002 nutritional assessment criteria, and references); 2. Presence of nutritional risk upon admission, defined as NRS-2002 score >=3; 3.ASA classification II–III; 4. No history of severe drug allergies (Ropivacaine, Sufentanil, Parecoxib Sodium, Ondansetron, Dexmedetomidine, Pantoprazole, Lidocaine, etc.).
Exclusion criteria
Exclusion criteria: 1. Reoperation or other surgical procedures during the same hospitalization; 2. Severe abnormalities in hepatic, renal, cardiopulmonary, or coagulation function; 3. Preoperative admission to the ICU; 4. Patients who received blood product transfusions preoperatively; 5. Patients who received preoperative enteral or parenteral nutrition therapy; 6. Pathological fractures ( due to bone tumors, metastatic bone disease, etc.); 7. Pre-existing immune or severe metabolic diseases ( active tuberculosis, malignant tumors, severe diabetes with complications, etc.); 8. Allergic predisposition, including a history of severe drug allergies ( Ropivacaine, Sufentanil, Parecoxib Sodium, Ondansetron, Dexmedetomidine, Pantoprazole, Lidocaine, etc.) or allergies to artificial colloids ( Polygeline).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative hospital stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| Dietary Intake;NPO duration;Time to first bowel movement;Correlation between postoperative nutrition consultation rate and arm strength at discharge;Adverse outcome rate; | — |
Countries
China
Contacts
Public ContactTian Jinshan
Affiliated hospital of chengdu university
Outcome results
None listed