Effects of ultrasound-guided pericapsular nerve group block versus fascia iliaca compartment block on postoperative pain and recovery in elderly patients with hip fractures
QI Xiao-hang
SUN Dong-hui
WU Zhen-yu
GONG Shan
Abstract：Objective To investigate the effects of ultrasound-guided pericapsular nerve group block(PENGB) versus fascia iliaca compartment block(FICB) on postoperative pain and recovery in elderly patients with hip fractures.Methods Eighty elderly patients with hip fractures treated at Qinhuangdao First Hospital from April 2019 to December 2023 were selected as study subjects and randomly divided into FICB group and PENGB group,with 40 cases in each group.All patients underwent surgical treatment.The FICB group received ultrasound-guided FICB before general anesthesia induction,while the PENGB group received ultrasound-guided PENGB.Visual analogue scale( VAS) scores,effective rates of sensory block,intraoperative propofol and remifentanil dosages,mini-mental state examination ( MMSE ) scores,incidence of adverse reactions,and incidence of cognitive dysfunction at 1 month postoperatively were compared between the two groups.Results The VAS scores of PENGB group at 6,12 and 24 h after operation were lower than those of FICB group,and the difference was statistically significant ( P<0.05) .There was no significant difference in VAS scores between the two groups at rest and exercise 48 h after surgery (P>0.05).The effective rate of sensory block at 6,12 and 24 h after operation in PENGB group was higher than that in FICB group,with statistical significance ( P<0.05).There was no significant difference in the effective rate of sensory block 48 h after operation between the two groups ( P>0.05 ) .There was no significant difference in intraoperative propofol dosage between the two groups ( P>0.05) .The dosage of remifentanil in PENGB group was lower than that in FICB group,and the difference was statistically significant(P<0.05).There was no significant difference in MMSE scores between the two groups at 12 h before and 24 h after surgery ( P>0.05) .The MMSE scores of PENGB group at 48 and 72 h after surgery were higher than those of FICB group,and the difference was statistically significant (P<0.05).There was no significant difference in the incidence of adverse reactions and cognitive dysfunction between the two groups (P>0.05).Conclusion Compared to FICB combined with general anesthesia,PENGB achieves better analgesic effects,requires less intraoperative anesthetic dosage,and is more conducive to postoperative cognitive function recovery in elderly patients undergoing hip fracture surgery.
Keywords：Pericapsular nerve group blockFascia iliaca compartment blockUltrasoundGeneral anesthesiaHip fracture
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 155-158 )