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| Effect of continuous iliac fascial space block on perioperative analgesia, hemodynamics and postoperative delirium in advanced age patients undergoing hip surgery#br# |
| XU Tongsheng1 LIU Zhenqing1▲ CHEN Xiaodong1 ZHANG Shujun2 |
1.Department of Anesthesiology, Wuxi Ninth People’s Hospital Wuxi Orthopedic Hospital, Jiangsu Province, Wuxi 214000, China;
2.Department of Spinal Surgery, Wuxi Ninth People’s Hospital Wuxi Orthopedic Hospital, Jiangsu Province, Wuxi 214000, China |
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Abstract Objective To explore the effect of continuous iliac fascial space block on perioperative analgesia, hemodynamics, and postoperative delirium in advanced age patients undergoing hip surgery. Methods A total of 178 advanced age patients undergoing hip surgery admitted to the Wuxi Ninth People’s Hospital of Jiangsu Province from January 2019 to January 2021 were selected as objects, and they were divided into into control group and observation group according to the random number table method, with 89 cases in each group. The control group was treated with conventional preoperative treatment, and the observation group was given continuous iliac fascial space block. Intraoperative blood loss, surgery time and hospital stay of two groups were observed. Visual analogue scale (VAS) score, mean arterial pressure and heart rate were compared between two groups enter the operating room (T1), 30 min after block (T2), after surgery (T3) and 30 min after surgery (T4). The incidence and duration of delirium within 7 d after surgery were observed. The incidence of adverse reactions in two groups were observed. Results There were no significant differences in intraoperative blood loss and surgery time between two groups (P > 0.05); the hospital stay of observation group was shorter than that of control group (P < 0.05). There were no significant differences in VAS score, mean arterial pressure, and heart rate between the two groups at T1 (P > 0.05). VAS score, mean arterial pressure, and heart rate at T2, T3, and T4 in observation group were lower than those in control group (P < 0.05). The incidence of delirium in observation group was lower than that in control group, and the duration of delirium was shorter than that in control group (P < 0.05). The incidence of adverse reactions in observation group was lower than that in control group (P < 0.05). Conclusion Continuous iliac fascial space block for advanced age patients with hip surgery can shorten the surgery time, reduce pain, stabilize blood pressure and heart rate, and reduce the incidence of delirium and adverse reactions.
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