Analgesia Effect and Safety Comparison of Two Different Ultrasound Fascia Iliaca Compartment Block Guided by Ultrasound in Elderly Patients with Hip Replacement

OBJECTIVE To study the analgesia effect and security of ultrasound guided by different fascia iliaca compartment block (FICB) scheme in elderly hip replacement. METHODS Eighty-two cases of elderly patients with total hip arthroplasty in Lishui city hospital of traditional chinese medicine orthopedic inpatient treatment from January 2015 to January 2017 were selected. According to random number method, 82 cases were divided into two groups, the control group (n=41) were guided by ultrasound in FICB with a 0.6 mL·kg^-1 of solution containing 0.2% ropivacaine, observation group (n=41) were received by continuous analgesia ropivacaine after finish the single 0.2% ropivacaine infusiong. Different time points sensory blockade, pain score and the incidence of adverse reactions in two groups were compared. RESULTS Sensory blockade effectiveness of T₄ and T₅ efficient moment in observer group were significantly higher than that in control group. VAS score of T₅ moment in observation group was obviously lower than that in control group. Catheter related adverse reaction of two groups were not found. Adverse reaction rate of observation group was signidicantly lower than that in control group(P<0.05). there were no signidicantly difference between two groups in the rest of the time block efficient comparison and VAS score. CONCLUSION In elderly patients with hip replacement surgery in the iliac fascia clearance catheter continuous block analgesia can ensure patients also get effective postoperative analgesia, no operation related adverse reactions, high safety.