The Effect of Femoral Nerve Block and Oral Analgesia Guided by B-ultrasound on Preoperative Analgesia of Middle and Upper Femoral Fractures in Elderly Patients

Hao YANG; Guo-yun ZHANG; De-cai WANG; Yun-rui GUO; Ye-cai ZHANG; Jian-ming YANG

doi:10.12259/j.issn.2095-610X.S20210931

Volume 42 Issue 9

Sep. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(9): 138-143

Hao YANG, Guo-yun ZHANG, De-cai WANG, Yun-rui GUO, Ye-cai ZHANG, Jian-ming YANG. The Effect of Femoral Nerve Block and Oral Analgesia Guided by B-ultrasound on Preoperative Analgesia of Middle and Upper Femoral Fractures in Elderly Patients[J]. Journal of Kunming Medical University, 2021, 42(9): 138-143. doi: 10.12259/j.issn.2095-610X.S20210931

Citation:

Hao YANG, Guo-yun ZHANG, De-cai WANG, Yun-rui GUO, Ye-cai ZHANG, Jian-ming YANG. The Effect of Femoral Nerve Block and Oral Analgesia Guided by B-ultrasound on Preoperative Analgesia of Middle and Upper Femoral Fractures in Elderly Patients[J]. Journal of Kunming Medical University, 2021, 42(9): 138-143. doi: 10.12259/j.issn.2095-610X.S20210931

Citation:

Hao YANG, Guo-yun ZHANG, De-cai WANG, Yun-rui GUO, Ye-cai ZHANG, Jian-ming YANG. The Effect of Femoral Nerve Block and Oral Analgesia Guided by B-ultrasound on Preoperative Analgesia of Middle and Upper Femoral Fractures in Elderly Patients[J]. Journal of Kunming Medical University, 2021, 42(9): 138-143. doi: 10.12259/j.issn.2095-610X.S20210931

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The Effect of Femoral Nerve Block and Oral Analgesia Guided by B-ultrasound on Preoperative Analgesia of Middle and Upper Femoral Fractures in Elderly Patients

doi: 10.12259/j.issn.2095-610X.S20210931

Dept. of Anesthesiology，The 2nd People’s Hospital of Kunming，Kunming Yunnan 650201，China

Received Date: 2021-06-18
Available Online: 2021-09-13
Publish Date: 2021-09-30

Abstract

Abstract

Objective To investigate and compare the application effect of B-ultrasono-guided femoral nerve block （FNB） and the oral analgesia in preoperative analgesia of middle and upper femoral fractures in the elderly. Methods We selected 84 elderly patients with femoral fractures （FF） diagnosed and treated in Kunming Second People’ s Hospital from April 2018 to November 2020. All patients had middle and upper segment fractures. We divided the group by random number table. The control group was treated with oral analgesia and the study group was treated with FNB guided by B-ultrasound. We used visual analogue pain score （VAS） to evaluate the effect indexes of the two groups before and 72 hours after analgesia: the difference of active activity VAS （AVAs） score, passive activity VAS （PVAs） score and tranqillization VAS （RVAS） score; Total compression and effective compression times of patient-controlled intravenous analgesia （PCIA） in the two groups. Data collection period: 72 hours after the beginning of analgesia; Adverse reactions in the two groups. Results Before analgesia, there were no significant differences in AVAS score, PVAS score and RVAS score between 2 groups （P > 0.05）. After 72 hours of the analgesia, AVAS score, PVAS score and RVAS score in the study group were lower than those in the control group, with the statistical significance （P < 0.05）. The total and effective times of pressing PCIA in the study group were lower than those in the control group with statistical significance （P < 0.05）. The adverse reactions in the study group were lower than those in the control group, with the statistical significance （P < 0.05）. Conclusion The application of FNB guided by B-ultrasound in the preoperative analgesia for FF patients can more effectively relieve the pain feeling of patients, with ideal analgesic effect and low adverse reactions.
- B-ultrasound guidance,
- Femoral nerve block analgesia,
- Oral analgesia,
- Adverse reactions,
- The effect

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