Volume 22 Issue 7
Jul.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(7): 1175-1178
FAN Chao, XU Xiaodong, SUN Quanpeng, YANG Xiaoyu, QUAN Lixin, GAO Junwei, BAI Weijie. Study on the effect of dexamethasone and ropivacaine iliac fascia nerve block combined with general anesthesia in corrective surgery for congenital hip dislocation in children[J]. Chinese Journal of General Practice, 2024, 22(7): 1175-1178. doi: 10.16766/j.cnki.issn.1674-4152.003593
Citation: FAN Chao, XU Xiaodong, SUN Quanpeng, YANG Xiaoyu, QUAN Lixin, GAO Junwei, BAI Weijie. Study on the effect of dexamethasone and ropivacaine iliac fascia nerve block combined with general anesthesia in corrective surgery for congenital hip dislocation in children[J]. Chinese Journal of General Practice, 2024, 22(7): 1175-1178. doi: 10.16766/j.cnki.issn.1674-4152.003593
shu

Study on the effect of dexamethasone and ropivacaine iliac fascia nerve block combined with general anesthesia in corrective surgery for congenital hip dislocation in children

doi: 10.16766/j.cnki.issn.1674-4152.003593
  • 1.

    Department of Anesthesiology, Zhengzhou Orthopedic Hospital, Zhengzhou, Henan 450052, China

Funds:

 LHGJ20200758

 Wjlx2021313

  • Received Date: 2023-09-08
    Available Online: 2024-09-05
    Abstract
  •   Objective   To assess the analgesic efficacy of dexamethasone combined with ropivacaine iliac fascial nerve block in pediatric patients undergoing orthopedic surgery for congenital hip dislocation.   Methods   Ninety children who underwent corrective surgery for congenital hip dislocation at Zhengzhou Orthopedic Hospital from February 2019 to August 2022 were selected and divide into three groups (n=30) using a random number table: general anesthesia group (Group C), ropivacaine general anesthesia group (Group L), and dexamethasone + ropivacaine general anesthesia group (Group D). After general anesthesia, group L received an injection of 0.25% ropivacaine 1 mL/kg under ultrasound guidance. Group D received an injection of 0.2 mg/kg dexamethasone and 0.25% ropivacaine 1 mL/kg under ultrasound guidance. Postoperative pain was managed with ketorolac tromethamine and hydromorphone. The dosage and awakening status of anesthesia drugs during surgery, postoperative pain blockade time, and application of remedial drugs were recorded for the three groups of pediatric patients.   Results   Compared to the dosage of propofol and remifentanil in Group C [(336±35) mg, (383±35) μg], the dosages in the Group L [(197±28) mg, (188±22) μg] and group D [(194±32) mg, (187±28) μg] were significantly reduced (P < 0.001). The awakening time, extubation time, and post-anesthesia care unit residence time were also shortened (P < 0.001). The postoperative pain blockade time in Group C [(27.5±11.2) min] and Group L [(357.4±102.7) min] was shorter than that in Group D [(485.2±120.6) min, P < 0.001]. The postoperative use rate of hydromorphone in Group D was lower than that in Group C and Group L (P < 0.001). Additionally, the incidence of nausea and vomiting in Group D was lower than that in Group C and Group L (P < 0.017).   Conclusion   The combination of dexamethasone and ropivacaine in a supra-inguinal fascia iliaca block with general anesthesia is used in the correction surgery for congenital hip dislocation in children. This approach prolongs pain blockade time and suppresses perioperative pain sensitivity reactions, contributing to more comfortable perioperative medical care.

     

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