Observation on the application effect of ultrasound-guided"bow tie sign"fascia iliaca block technique on analgesia after hip joint surgery
WU Gang
WANG Hui
CHEN Gang
WANG Ping
ZHAO Shihao
WANG Fangqing
Abstract：Objective To observe the application effect of ultrasound-guided"bow tie sign"fascia iliaca block technique on analgesia after hip joint surgery.Methods A total of 60 patients with hip fractures who underwent elective total hip replacement or artificial femoral head replacement in Tongling People's Hospital from January 2020 to May 2023 were recruited and divided into control group and observation group by random number table method,with 30 cases in each group.The control group received postoperative intravenous analgesia,and the observation group underwent ultrasound-guided"bow tie sign"fascia iliaca block technique for analgesia based on the analgesia regimen of the control group.Postoperative opioid consumption,time of ambulation,length of hospital stay and Harris scores at discharge were compared between the two groups.The scores of passive Visual Analogue Scale(PVAS)and initiative Visual Analogue Scale(IVAS)were compared between the two groups at the time points of 2 hours(T0),6 hours(T,),12 hours(T2),24 hours(T3)and 48 hours(T4)after surgery.The sleep satisfaction,analgesia satisfaction and postoperative complication rate were compared between the two groups.Results Compared with the control group,the observation group had less opioid dosage added within 48 hours after surgery,earlier time of ambulation,shorter length of hospital stay,and higher Harris scores at discharge,and the differences were statistically significant(P＜0.05).The postoperative PVAS scores and IVAS scores showed a downward trend in both groups,and the magnitudes of decreases in the postoperative PVAS scores and IVAS scores were greater in the observation group(P＜0.05).From the time point of T1 to the time point of T4,the PVAS scores and IVAS scores of the observation group were significantly lower than those of the control group(P＜0.05).The sleep quality satisfaction rates 24 hours and 48 hours after surgery in the observation group were higher than those in the control group,and the overall satisfaction rate of postoperative analgesia in the observation group was higher than that in the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the total incidence rate of postoperative complications between the two groups(P＞0.05).Conclusion Ultrasound-guided"bow tie sign"fascia iliaca block technique can achieve better analgesic effect after hip joint surgery,reduce opioid consumption,improve postoperative sleep quality of the patients,and facilitate postoperative rehabilitation of the patients.
Keywords：Ultrasound guidanceFascia iliaca block techniqueHip jointAnalgesia
Publication Date：2024-07-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 783-788 )