Volume 19 Issue 2
Feb.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 186-188, 311
AN Xiao-feng, FANG Liang-qin, WU Dan. Clinical application of ultrasound-guided low sacral plexus nerve block combined with general anesthesia in hip replacement for elderly patients[J]. Chinese Journal of General Practice, 2021, 19(2): 186-188, 311. doi: 10.16766/j.cnki.issn.1674-4152.001763
Citation: AN Xiao-feng, FANG Liang-qin, WU Dan. Clinical application of ultrasound-guided low sacral plexus nerve block combined with general anesthesia in hip replacement for elderly patients[J]. Chinese Journal of General Practice, 2021, 19(2): 186-188, 311. doi: 10.16766/j.cnki.issn.1674-4152.001763
shu

Clinical application of ultrasound-guided low sacral plexus nerve block combined with general anesthesia in hip replacement for elderly patients

doi: 10.16766/j.cnki.issn.1674-4152.001763
  • 1.

    Department of Anesthesia, Seventy-two Group Military Hospital, Huzhou, Zhejiang 313000, China

Funds:

 2018ZYC-A78

  • Received Date: 2020-04-30
    Available Online: 2022-02-19
    Abstract
  •   Objective  To observe the effect of ultrasound-guided sacral plexus block combined with general anesthesia on the postoperative clinical effect of hip replacement in elderly patients.  Methods  Total 80 elderly patients undergoing elective total hip replacement from January 2018 to January 2020 in our department were selected. They were randomly divided into experimental and control groups with 40 cases per group. The operation methods of the two groups were the same. The observation group was anesthetized by ultrasound-guided lumbosacral plexus block combined with general anesthesia, while the control group was anesthetized by general anesthesia. Laryngeal mask ventilation was used during anesthesia, and the bispectral index (BIS) of EEG was maintained at 45-55. The heart rate (HR) and mean arterial pressure (map) were recorded before entering the room (T0), 10 min after anesthesia (T1), 30 min after operation (T2) and 2 h after operation (T3), and 6, 12, 24, 36, 48 and 72 h after operation VAS scores were recorded, including intraoperative infusion volume, sufentanil dosage, operation time, intraoperative blood loss, postoperative extubation time and exhaust time. The data of two groups were compared and analysed.  Results  The intraoperative infusion volume, sufentanil dosage, operation time, intraoperative blood loss, postoperative extubation time, and exhaust time in the observation group were significantly lower than those in the control group (all P < 0.05). The HR and MAP of the observation group at T1 and T2 were lower than those of the control group (all P < 0.05). Vas scores at 6, 12, 24, and 36 h in the observation group were lower than those in the control group (all P < 0.05).  Conclusion  Compared with general anesthesia, ultrasound-guided lumbosacral plexus block combined with general anesthesia can reduce the dosage of opioid analgesics during the operation, and has better analgesic effect. It can reduce the amount of intraoperative infusion and blood loss, shorten the operation time, postoperative extubation time and exhaust time, and has high anesthesia satisfaction.

     

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