Effect of preoperative fascia iliaca compartment block on postoperative outcomes of elderly patients with hip fracture and fragile heart function

LI Xia; ZHOU Zhendong; LIU Ruijuan; XU Mengjun; YAN Wenjun

doi:10.3969/j.issn.2096-2681.2024.06.002

Abstract：Objective To observe the effect of preoperative continuous high fascia iliaca compartment block(FICB)on the postopera-tive outcomes of elderly patients with hip fracture and fragile heart function.Methods A total of 200 patients with hip fracture and fragile cardiac function,including 82 males and 118 females,aged 65-88 years,ASA Ⅱor Ⅲ,NYHA heart classification Ⅱ or Ⅲ,from January 2022 to July 2023 in Gansu Provincial Hospital were selected and randomly divided into control group(group C,n=100)and preoperative fascia iliaca compartment block group(group F,n=100).The patients in group C were intravenously injected with flurbiprofen axetil 50 mg,within 2 h after admission.The patients in group F were given continuous fascia iliaca compartment block.The total length of hospital stay,first time out of bed,PSQI score,MMSE score,VAS pain score,postoperative complications and mortality within half a year were observed.Results Compared with group C,the time of getting out of bed,total hospital stay and PSQI score in group F were significantly reduced,and the difference was statistically significant(P＜0.05).Compared with group C,the VAS score in group F was significantly decreased,while the MMSE score was increased,and the respiratory and cardiovascular complications,lower extremity venous thrombosis and mortality in group F were significantly reduced,with statistically significant differences(P＜0.05).Conclusion For elderly patients with hip fracture and fragile heart function,preoperative continuous FICB can significantly shorten the length of hospital stay,reduce the incidence of postoperative respiratory cardiovascular complications and lower extremity venous thrombo-sis,and promote postoperative recovery.