Comparison of analgesic effects of erector spinae plane block and fasciailiaca com-partment block for hip replacement
JIANG Wei
ZHENG Xia
YANG Liu
SHUI Chunling
Abstract：Objective To explore the efficacy of erector spinae plane block(ESPB)in postoperative analgesia after hip replacement surgery.Methods A total of 60 patients,aged 60-80 years,ASA Ⅰ-Ⅲ,BMI 16.0-26.0 kg/m2,undergoing hip replacement at the Affiliated Yongchuan Hospital of Chongqing Medical University,from January to December 2023 were randomly divided into control group(n=30)and observation group(n=30)using a random number table method.Both groups underwent unilateral spinal anesthesia.After surgery,the observation group underwent ESPB and the control group underwent fascia iliaca compartment block(FICB);both groups were given standard configured patient-controlled intravenous analgesia pumps after surgery.The visual analogue scale(VAS)and postoperative analgesia of the two groups were recorded at 4,8,12,24,48 h after operation.At 24 h and 48 h after operation,the manual muscle strength grading(MMT)scores of quadriceps femoris of both groups were recorded.The postoperative recovery of the two groups was recorded.Results There was no significant difference in VAS score(at rest or during activity)at 4,8,12,24 and 48 h after oper-ation,patient controlled intravenous analgesia press times and the rate of remedial analgesia within 48 h after operation between the two groups(P＞0.05).Compared with the control group,the MMT scores of the observation group were significantly higher at 24 h and 48 h after operation,and the difference was statistically significant(P＜0.05).In terms of the first time of getting out of bed activity,the observation group was significantly earlier than the control group,and the difference was statistically significant(P＜0.05),and the post-operative hospitalization time of the observation group was further shortened compared to the control group,with statistical significance(P＜0.05).Conclusion The effect of ESPB on postoperative analgesia after hip replacement is comparable to that of FICB,and it has little effect on postoperative lower limb muscle strength while exerting analgesia,which is conducive to early getting out of bed.
Keywords：hip replacementerector spinae plane blockfascia iliaca compartment blockanalgesialower limb muscle strength
Publication Date：2025-04-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 103-107 )