| 黄伟,陈志远,刘志龙,王萌,陈连锁,闫硕.超声引导下髂筋膜联合腹横肌平面神经阻滞用于老年髋部手术镇痛[J].中国介入影像与治疗学,2026,23(5):270-274 |
| 超声引导下髂筋膜联合腹横肌平面神经阻滞用于老年髋部手术镇痛 |
| Analgesic effect of ultrasound-guided iliofascial combined with transversus abdominis plane nerve block on hip surgery in elderly patients |
| 投稿时间：2025-12-06 修订日期：2026-02-06 |
| DOI：10.13929/j.issn.1672-8475.2026.05.004 |
| 中文关键词: 老年人 髋 麻醉 超声检查 前瞻性研究 |
| 英文关键词:aged hip anesthesia ultrasonography prospective studies |
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| 中文摘要: |
| 目的 观察超声引导下髂筋膜联合腹横肌平面神经阻滞用于老年髋部手术的镇痛效果。方法 前瞻性将132例老年髋部骨折患者随机均分为观察组与对照组各66例，分别行超声引导下髂筋膜联合腹横肌平面神经阻滞及单纯髂筋膜神经阻滞；比较组间麻醉相关指标、血流动力学指标、视觉模拟评分（VAS）、应激指标、睡眠质量及不良反应。结果 观察组麻醉操作时间及镇痛持续时间长于，而感觉及运动阻滞起效时间、术后24及48 h阿片类药物用量均小于对照组（P均＜0.05）；其平均动脉压及心率平均波动幅度，术后3、6、12及24 h VAS，术后24 h血糖及皮质醇，术后1、3及7天阿森斯失眠量表评分，以及不良反应发生率均低于对照组（P均＜0.05）。结论 超声引导下髂筋膜联合腹横肌平面神经阻滞用于老年髋部手术镇痛效果佳且安全。 |
| 英文摘要: |
| Objective To observe the analgesic effect of ultrasound-guided iliofascial combined with transversus abdominis plane nerve block on hip surgery in elderly patients. Methods Totally 132 elderly patients with hip fractures were prospectively enrolled and randomly divided into observation group and control group （each n=66）. Patients in observation group underwent ultrasound-guided iliofascial combined with transversus abdominis plane nerve block， while those in control group underwent only iliofascial nerve block. The anesthesia related indicators， hemodynamic indicators， visual analogue scale （VAS）， stress indicators， sleep quality and adverse reactions were compared between groups. Results The anesthesia operation time and duration of analgesia in observation group were longer， while the effective time of sensory blockade and motor blockade， the dosage of opioid drugs 24 and 48 h after surgery were all smaller than those in control group （all P＜0.05）. The average fluctuation amplitude of mean arterial pressure and heart rate， VAS at 3， 6， 12 and 24 h after surgery， blood glucose and cortisol at 24 h after surgery， Athens insomnia scale scores 1， 3 and 7 days after surgery， as well as the incidence of adverse reactions in observation group were all lower than those in control group （all P＜0.05）. Conclusion Ultrasound-guided iliofascial combined with transversus abdominis plane nerve block had better analgesic effect and high safety for hip surgery in elderly patients. |
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