Comparative study of postoperative analgesia effect with ultrasound guided fascia iliaca compartment nerve block used in arthroscopically-assisted knee operation
ZHANG Jian-xing,WANG Yan, ZHOU Guo-bin
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (4) : 457-459.
Comparative study of postoperative analgesia effect with ultrasound guided fascia iliaca compartment nerve block used in arthroscopically-assisted knee operation
Objective To research the efficacy of postoperative analgesia with ultrasound guided fascia iliaca compartment nerve block used in arthroscopically-assisted knee operation. Method Sixty patients undergoing arthroscopically-assisted knee operation were divided randomly into two groups of thirty: a normal group (A, n=30) and a research group (B, n=30). All of the patients were operated undergeneral anesthesia. Patients in group B received ultrasound-guided fascia iliaca compartment block before operation and patients in group A were received none. the analgesia effect (VAS) on postoperative 6h,12h, 24h and analgesia drugs consumption, incidence of side effects, degree of comfort in 24 hours after operation in all patients were observed. Results Compared with group A,analgesic effect was significantly better with less extra drugs consumption and higher degree of comfort in group B. Group B had fewer complications but no statistical difference was detected. Conclusion Ultrasound guided fascia iliaca compartment nerve blockused in arthroscopically-assisted knee operation can bring better postoperative analgesia and reduce the adverse effects. It can make patients feel comfortable.
Fascia iliaca compartment nerve block / Ultrasound / Arthroscopically-assisted knee operation / Analgesia
[1] 李挺, 许爱军, 徐旭仲. 超声引导技术与神经阻滞[J].国际麻醉学与复苏杂志, 2004, 25(6):372-374.
[2] Wadhwa A, Kandadai SK, Tongpresert S, et al. Ultrasound guidance for deep peripheral nerve blocks: a brief review[J].Anesthesiology research and practice,2011:2011
[3] 严娅岚, 杨光, 吴文知, 等. 连续股神经阻滞在膝关节镜术后镇痛及早期康复中的应用[J].四川医学, 2012, 33(2):313-316.
[4] Fowler SJ, Symons J, Sabato S, et al, Epidural analgesia compared with nerve blockade after major knee surgery: a systematic review and meta-analysis of randomized trials[J]. Br J Anaesth, 2008, 100(2):154-164.
[5] Newman B, Mc Carthy L, Thomas PW, et al. A comparison of pre-operative nerve stimulator-guided femoral nerve block and fascia iliaca compartment block in patients with a femoral neck fracture [J]. Anaesthesia, 2013, 68(9): 899-903.
[6] Marhofe P, Chan VW. Ultrasound guided regional anesthesia: current concepts and future trends[J]. Anesth Analg, 2007, 104(5):1265-1269.
[7] 田竞, 周大鹏, 张毅男, 等. 连续股神经阻滞镇痛与静脉药物镇痛对膝关节松解术后关节功能影响的比较[J]. 中国矫形外科杂志, 2012, 20(16):1517-1519.
[8] Wallace JB, Andrade JA, Christensen JP, et al. Comparison of fascia iliaca compartment block and 3-in-1 block in adults undergoing knee arthroscopy and meniscal repair [J]. AANA J, 2012, 80(4 Suppl): 37-44.
[9] 庄心良, 曾因明, 陈伯銮.现代麻醉学[M].北京:人民卫生出版社, 2006:2589-2590.
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