Application of Iliac Fascia Space On Inguinal Ligament Combined with Sacral Plexus Block in Surgery for Intertrochanteric Fracture of Femur in Elderly Patients
YU Sheng
WANG Li
TAN Haiyun
JIANG Ming
YU Liangsheng
Abstract：Objective:To explore the application of iliac fascia space on inguinal ligament combined with sacral plexus block in surgery for intertrochanteric fracture of femur in elderly patients.Method:A total of 66 elderly patients who underwent surgical treatment of intertrochanteric fracture of femur in Huangshi Industrial and Mining Hospital from August 2022 to August 2023 were selected as the research objects,the patients were divided into the conventional block group(lumbar sympathetic nerve block)and the combined block group(iliac fascia space on inguinal ligament combined with sacral plexus block)by random number table method,with 33 cases in each group.The intraoperative related indicators,anesthesia satisfaction,pain degree and adverse reactions were compared between two groups.Result:The onset time and complete time of sensory and motor block in the combined block group were longer than those in the conventional block group,and the anesthesia satisfaction was higher than that in the conventional block group,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)scores of the combined block group immediately after skin incision and at the end of operation were higher than those of the conventional block group,while the VAS score at 24 h after operation was lower than that of the conventional block group,and the differences were statistically significant(P<0.05);however,there were no significant differences in VAS scores between two groups at 30 min after the start of surgery(P>0.05).The incidence of headache,nausea,vomiting and urinary retention in the combined block group were lower than those in the conventional block group,and the differences were statistically significant(P<0.05);no serious complications occurred in two groups.Conclusion:Iliac fascia space on inguinal ligament combined with sacral plexus block in surgery for intertrochanteric fracture of femur in elderly patients can improve the analgesic and sedative effects,improve anesthesia satisfaction,and reduce postoperative adverse reactions.
Keywords：Intertrochanteric fracture of femurElderlyIliac fascia space on inguinal ligament combined with sacral plexus blockLumbar sympathetic ganglion block
Publication Date：2024-12-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 35-40 )