| Objective:To compare the analgesic effect of ultrasound-guided lumbar erector spinae pla-ne block（L-ESPB）and suprainguinal fascial iliaca compartment block（SFICB）in hip surgery.methods:A total of 60 patients who were going to undergo hip surgery in The first Bethune hospital of Ji Lin University from November 2020 to October 2021,inclu-ding 27 males and 33 females,30-85 years old,ASA I-III grades,were rando-mly divided into 3 groups: Group L: Ultrasound Guided lumbar erector spinae plane block combined with general anesthesia group（n=20）,Group S:Ultraso-und Guided suprainguinal fascial iliaca compartment block combined with gene-ral anesthesia group（n=20）,Group C: general anesthesia group（n=20）.Group L and Group S underwent nerve block in the pre-anesthesia room to measure the sensory level respectively.Group C did not do any treatment.The patients in the three groups underwent general anesthesia induction after entering the operating room.The BIS 40-60 was maintained during the operation,and the patients were sent to postanesthesia care unit after the operation.The intraoperative anesthetic dosage of the three groups of patients,the absolute value of the difference in heart rate and mean arterial pressure 5min before and after skin incision |HR|,|MAP|,during extubation,6 hours after extubation,12 hours after extubation,and 24 hours after extubation’s NRS scores at rest and during exercise,postoperative rescue analgesia and incidence of adverse reactions,time spent on ground activities,days of hospital stay after surgery,and the satisfaction of patients and their families were recorded.Results:The general clinical data and operation duration of patients in group L,group S,and group C were comparable（P>0.05）.Compared with group C,the amou-nt of anesthesia in group L and group S was less（P<0.05）,but there was no significant difference in the amount of anesthetic between group L and group S（P>0.05）.The fluctuations of blood pressure and heart rate during skin incision in group L and group S were smaller than those in group C（P<0.05）,and there was no significant difference between group L and group S（P>0.05）.The resting and exercise NRS scores at 6h,12 h,and 24 h after extubation in groups L and S were lower than those in group C（P<0.05）,and the NRS sco-res in group L and S were not significantly different（P >0.05）,the NRS scor-es of the three groups were all lower at the time of extubation（P>0.05）.Ther-e was no statistical difference in the occurrence of adverse reactions among th-e three groups of patients（P>0.05）.The first time of going to the ground be-tween groups L and S was earlier than that of group C（P<0.05）,and there was little difference between group L and group S（P>0.05）.The postoperative hospital stay in group L and S were shorter than those in group C（P<0.05）,and the postoperative hospital stay in group L was longer than that in group S（P<0.05）.The satisfaction score of patients and their families was highest in group S,followed by group L,and lowest in group C（P<0.05）.Conclusions:Compared with general anesthesia alone,preoperative ultrasound-guided lumbar erector spinae plane block or suprainguinal fascial iliaca compartment block can improve the quality of intraoperative and postoperative analgesia,and the analgesic effects of the two are similar,but general anesthesia combined with suprainguinal fascial iliaca compartment block compared with lumbar erector spinae plane block has more stable hemodynamics,shorter postoperative hospital stay,and higher family satisfaction. |
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