Open AccessObservation of Postoperative Analgesia in Elderly Patients with PFNA By Routine Pulsed Lumbar Plexus Administration
Author(s) -
Zhi-yong Song,
Qi Wang
Publication year - 2019
Publication title -
medical research
Language(s) - English
Resource type - Journals
eISSN - 2664-0341
pISSN - 2664-0333
DOI - 10.6913/mrhk.201912_1(1).0004
Subject(s) - medicine , lumbar plexus , anesthesia , lumbar , anesthetic , catheter , surgery , adverse effect , incidence (geometry) , physics , optics
Objective to observe the postoperative analgesia of elderly patients with PFNA by pulsed lumbar plexus administration. Methods: 90 patients with PFNA postoperative analgesia were selected and divided into three groups on average. The first group, 30 routine PCIA. The second group received PCEA analgesia after spinal anesthesia. In the third group, the intraoperative lumbar plexus nerve block was completed and the anesthetic catheter was indwelling. The drug administration mode was programmed pulse administration without background dose. The pain index, movement tissue index and the incidence of various adverse reactions were observed after PFNA. Results the pain score of peripheral nerve block program pulse group was significantly lower than that of general anesthesia group, the incidence of motor tissue was lower than that of epidural group, and the incidence of side effects was lower than that of general anesthesia group and epidural group. Conclusion patients with PFNA is mostly elderly patients with varying degrees of system disease and organ function degradation, extra week nerve block program pulse to VAS score is lower and less motor block, fewer side effects, is PFNA more effective postoperative analgesia mode, you can reply as soon as possible to the patient's activity ability, improve the prognosis of patients.