关键词: 髂筋膜间隙阻滞, 老年患者, 股骨粗隆间骨折

Abstract: 【Abstract】〓Objective〓To explore the effect of ultrasound-guided multi point block in the fascia iliac gap combined with laryngeal mask anesthesia in elderly patients underwent intertrochanteric femoral surgery. Methods〓Seventy cases of elderly patients aged 65-89 years old and ASA Ⅱ~Ⅲ grade, were selected. The patients are divided into two groups, iliac fascia gap anesthesia (S group, 35 cases) and iliac fascia gap combined spinal-epidural anesthesia (Y group, 35 cases). The blood pressure and heart rate are recorded in the following five points of time, before anesthesia, anaesthetizing, after the injection of 10 min, after the injection of 20 min and laryngeal mask airway being imbedded. The use rate of vasoactive drug, the volume of liquid used during the operation, the analgesic effect of 48 hours after surgery and the adverse reaction were also recorded. Results〓The blood pressure and heart rate of S group were significantly lower than those of Y group when anaesthetizing (P<0.05). The blood pressure of S group was higher than that of Y group but the heart rate was lower than Y group when and after the injection of 10 min, 20 min, after laryngeal mask airway was imbedded (P<0.05). The volume of liquid used during the operation in S group was less than that of Y group (P<0.05). The use rate of vasoactive drug and the adverse reaction of Y group were higher than those of S group (P<0.05). There were no differences between these two groups in VAS score 48 hours after surgery. Conclusion〓The approach of ultrasound-guided multi point block in iliac fascia gap combined with laryngeal mask anesthesia had good outcomes in treating elderly patients with intertrochanteric fracture.

Key words: Multi point block in iliac fascia gap, Elderly patient, Intertrochanteric fracture