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| Comparison of analgesic effect of ultrasound-guided adductor canal block and traditional intravenous administration on fracture of tibia after open reduction and internal fixation#br# |
| WANG Mingzhu LIU Zhenqing XU Yan |
| Department of Anesthesiology, Wuxi Ninth People’s Hospital, Jiangsu Province, Wuxi 214000, China |
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Abstract Objective To investigate the curative effect of ultrasound-guided adductor canal block and traditional intravenous administration for fracture of tibia. Methods A total of 80 patients with fracture of tibial admitted to Wuxi Ninth People’s Hospital, Jiangsu Province from December 2018 to December 2019 were selected, they were divided into two groups by random number table method, with 40 patients in each group. The control group was given traditional intravenous administration analgesia, and the observation group was given ultrasound-guided adductor canal block analgesia. Visual analogue scale (VAS) was used to evaluate the pain degree at postoperative knee bend and rest, and the sedation state score (Ramsay score) was used to evaluate the postoperative rest state of the two groups, the treatment satisfaction of two groups were compared, the amount of Fentanyl in the postoperative analgesic pump, the effective pressing times of the analgesic pump and the amount of Flurbiprofen Axetil were monitored, and the length of hospital stay and the occurrence of adverse reactions were recorded. Results VAS scores at knee bend and rest of two groups were pairwise compared at different time points, and the differences were statistically significant (P < 0.05); VAS score at knee bend and rest of observation group were lower than those of control group at 8, 24 h, and 48 h postoperatively, and the differences were statistically significant (P < 0.05). At 24 h postoperatively, Ramsay scores of both groups were lower than those at 4 h postoperatively, and the differences were statistically significant (P < 0.05); at 4 h and 24 h postoperatively, the Ramsay scores of the observation group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The amount of Fentanyl, the effective pressing times of the analgesic pump and the total dosage and usage rate of Flurbiprofen Axetil of observation group were lower than those of control group, and the length of hospital stay were shorter than that of control group, and patient satisfaction was higher than that of control group, and the differences were statistically significant (P < 0.05). The total incidence of adverse reactions in observation group was lower than that in control group, and the difference was statistically significant (P < 0.05). Conclusion Ultrasound-guided adductor canal block has better efficacy and safety than traditional intravenous administration.
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