Application Effect of Ultrasound-guided Iliaca Fascia Nerve Block Combined with General Anesthesia in Elderly Patients with Proximal Femoral Fracture

LONG Bo; YANG Daihe; YANG Lijun

doi:10.14033/j.cnki.cfmr.2024.32.012

Abstract：Objective:To explore the effect of application effect of ultrasound-guided iliaca fascia nerve block combined with general anesthesia in elderly patients with proximal femoral fracture.Method:A total of 80 elderly patients with proximal femoral fracture who treated in Fujian Second People's Hospital from January 2021 to January 2023 were selected as the research objects,they were divided into the control group(conventional general anesthesia,40 cases)and the observation group(ultrasound-guided iliaca fascia nerve block combined with general anesthesia,40 cases)according to the random number table method.The anesthesia effect,hemodynamics and pain[visual analogue scale(VAS),prostaglandin E2(PGE2),serum substance P(SP)]were compared between two groups.Result:The dosages of Propofol and Remifentanil in the observation group were less than those in the control group,and the extubation time and recovery time were shorter than those in the control group,the differences were statistically significant(P＜0.05);the mean arterial pressures of the observation group at the time of tracheal intubation,5 min after the beginning of operation and end of operation were higher than those of the control group,and the heart rate were lower than those of the control group,the differences were statistically significant(P＜0.05);at 24 h after operation,the VAS scores and the levels of PGE2 and SP in two groups were higher than those at 2 h after operation,but those in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).Conclusion:Ultrasound-guided iliaca fascia nerve block combined with general anesthesia in elderly patients with proximal femoral fracture can effectively reduce the amount of anesthetic drugs,shorten the extubation and recovery times,stabilize hemodynamics and relieve pain.The use of combined anesthesia during surgery for proximal femoral fractures in the elderly can effectively reduce anesthesia dosage,shorten hospital stay,alleviate pain,and stabilize hemodynamics.