Comparison on the Application of Pericapsular Nerve Group Block and Supra-Inguinal Fascia Iliaca Compartment Block in Patients with Femoral Neck Fracture Under B-Ultrasound Guidance
BI Lujia
YANG Limin
ZHU Jianye
CHEN Hui
YAN Junjie
Abstract：Objective To explore the application effect of pericapsular nerve group block(PNGB)and supra-inguinal fascia iliaca compartment block(S-FICB)in patients with femoral neck fracture(FNF)under B-ultrasound guidance.Methods A total of 80 patients with FNF undergoing total hip arthroplasty(THA)in the Second Affiliated Hospital of Luohe Medical College were enrolled as the research objects between September 2021 and September 2022.According to random number table method,they were divided into S-FICB group and PNGB group,40 cases in each group.Heart rate before block(T0),at 5 minutes after block(T1),10 minutes after block(T2)and 15 minutes after block(T3).The scores of numeric rating scale(NRS)at T0,T3,30 minutes after block(T4),2 hours after block(T5),6 hours after block(T6),12 hours after block(T7)and 24 hours after block(T8)under rest state and 15°hip lifting state.Ultrasound imaging time,puncture time,score of ultrasound imaging resolution,the first leaving bed time,hospitalization time and postoperative complications in both groups were recorded.Results There was no statistical difference in heart rate in terms of between-group,time points and interaction dimensions from T0-T3(P＞0.05).At T0 and T3-T8,there were statistical differences in NRS scores under rest state in terms of between-group,time points and interaction dimensions(P＜0.05),and which were lower in PNGB group than S-FICB group(P＜0.05).At T0 and T3-T8,there were statistical differences in NRS scores under 15° hip lifting state in terms of between-group,time points and interaction dimensions(P＜0.05),and which were lower in PNGB group than S-FICB group(P＜0.05).The ultrasound imaging time in PNGB group was shorter than that in S-FICB group(P＜0.05).After surgery,the first leaving bed time in PNGB group was shorter than that in S-FICB group(P＜0.05).There were no complications related to nerve block in either group.Conclusion The effect of PNGB and S-FICB is similar on heart rate in FNF patients.However,the former can enhance analgesic effect,shorten ultrasound imaging time and promote postoperative recovery.
Keywords：B-ultrasound guidancepericapsular nerve group blocksupra-inguinal fascia iliaca compartment blockfemoral neck fracture
Publication Date：2024-11-15
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 3920-3924 )