超声引导下股神经阻滞并不优于超声引导下股外侧肌筋膜阻滞用于股骨颈骨折。
Ultrasound-guided femoral nerve blocks are not superior to ultrasound-guided fascia iliaca blocks for fractured neck of femur.
机构信息
Emergency Department, Fiona Stanley Hospital, Perth, Western Australia, Australia.
Nursing and Midwifery Research, St John of God Subiaco Hospital, Perth, Western Australia, Australia.
出版信息
Emerg Med Australas. 2019 Jun;31(3):393-398. doi: 10.1111/1742-6723.13172. Epub 2018 Sep 9.
OBJECTIVE
To determine if an ultrasound-guided femoral nerve block (FNB) is superior to an ultrasound-guided fascia iliaca compartment block (FICB) in providing pain relief to patients with a neck of femur or proximal femoral fracture.
METHODS
A double-blind randomised controlled trial was conducted. All participants received two blocks, one active and one placebo. An active FICB was administered to 52 participants and 48 participants received an active FNB.
RESULTS
Analysis was completed on data collected from 100 participants. Most patients were elderly and the majority were female. Both FICB and FNB achieved clinically significant mean reductions in pain scores (2.62 for FICB and 2.3 for FNB). There was no significant difference in reduction in pain scores between the two cohorts, P = 0.408.
CONCLUSIONS
Ultrasound-guided FNB is not superior to ultrasound-guided FICB, with both facilitating an equivalent analgesia effect in patients with a neck of femur or proximal femur fracture.
目的
确定超声引导股神经阻滞（FNB）是否优于超声引导股筋膜室间隔阻滞（FICB），为股骨颈或股骨近端骨折患者提供止痛效果。
方法
进行了一项双盲随机对照试验。所有参与者均接受了两次阻滞，一次为主动阻滞，一次为安慰剂。52 名参与者接受了主动 FICB，48 名参与者接受了主动 FNB。
结果
对 100 名参与者的数据进行了分析。大多数患者年龄较大，大多数为女性。FICB 和 FNB 均使疼痛评分显著降低（FICB 为 2.62，FNB 为 2.3）。两组间疼痛评分降低无显著差异，P = 0.408。
结论
超声引导 FNB 并不优于超声引导 FICB，两者均能为股骨颈或股骨近端骨折患者提供等效的镇痛效果。
Zotero 插件