超声引导髂筋膜腔隙阻滞的临床分析

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1、AbstractClinicalstudyofultrasound-guidedfasciailiaccompartmentblockParttwo：60patients，theASAI～ⅡI，scheduledfortotalhiparthroplastyundersubarachnoidanesthesiawererandomlydividedinto2groups：supra—inguinalfasciailiacacompartmentblock(groupA，n=30)andinfra-i

2、nguinalfasciailiacacompartmentblock(groupB，n230)．Thepatientsineachgroupwerescheduledtoreceivethecontinuousultrasound-guidedFICBbycatheter,whichwasconnectedwiththePCAdevice．Atotalvolumeof20mldifferentconcentrationsofropivacainewasinjectedbythecatheter．T

3、hePCAdeliverymodewasprogrammedtodeliver10mlropivacainewithalockouttimeof60minutes．Theanalgesiawascontinuedfor72hours．IftheRVASscorewasabove4，theDynastat40mgshouldadditionalusedbyintravenousTheRVASscoresatthetimebeforetheFICB(Oh)and3h，6h，12h，24h，48h，72h

4、aftertheFICBwererecorded．ThePVASscoresatl2h，24h48h，72handtheIVASscoresat12h，24h，48h，72haftertheFICBwerealsorecorded．Theconsumptionofropivacaineat3h，6h，12h，24h，48h，72h．AdversereactionsandpatientsatisfactionsaftertheFICBwerealsorecorded．ResultsPartone：20

5、rainafterfasciailiaccompartmentinjection，al、bl、a2、b2completelyblockratewere100％；Clwasonly5percentcompletelyblock，a3、c2、c3、b3completelyblockrateincreased，butwerenotupto100％．Parttwo：TherewasnosignificantdifferenceintheASA，sex，age，，thebodymassindexandtheo

6、perationtimeamongthefourgroups(尸>O．05)．TheRVASscore，thePVASscoreandtheIVASscorewerenosignificantdifference(P>0．05)；Patientswithnauseaandvomitingwaslow,therewasnosignificantdifferencebetweenthesetwogroups(P>0．05)．ComparedwithgroupB，in3hand6hropivacained

7、osageingroupAwereundifferentiated(P>0．05)，remainingateachtimepointwithavolumeoflessthanropivacaineingroupB，thedifferencewasstatisticallysignificant(P

8、nificant(P>O．05)ConclusionsIVClinicalstudyofultrasound·guidedfasciailiaccompartmentblockAbstractPartone：Theultrasound-—guidedsupra--inguinalFICBwith0．25％ropivacaine30mlcanblocktheanteriorlateralandmedialthighpainnearthecalfarea，whichis，