Department of Emergency Medicine, İzmir Bozyaka Training and Resarch Hospital, İzmir-Turkey.
Department of Anesthesiology and Reanimation, İzmir Democracy University Faculty of Medicine, İzmir-Turkey.
Ulus Travma Acil Cerrahi Derg. 2022 Jun;28(6):832-838. doi: 10.14744/tjtes.2022.67817.
Hip fractures (HF) are among the most common fractures present in the emergency department and are very painful. Pericapsular nerve group block (PENG) is a new regional anesthesia technique developed for analgesia in total hip arthroplas-ties. We aimed to determine the effectiveness of PENG block used to reduce pain in patients with HF in the emergency department.
This single-center, randomized, and prospective study was carried out in the emergency department. The patients in-cluded in the study were selected according to the suitability of the personnel who will perform the procedure. The sealed envelope system was used for randomization.
Statistical analysis was performed with 39 patients (18 patients in the PENG group, 21 patients in the control group). Thir-teen (33.3%) of the patients were female and 26 (66.7%) were male. The mean age was 75.3. At rest post-procedure, the mean Numeric Rating Scale (NRS) scores of the patients at the 30th min, 2nd, 6th, and 24th h were 1.78±1.83, 0.00±0.00, 0.00±0.00, and 1.28±1.41 in the PENG group. On the other hand, it was 3.38±1.86, 0.05±0.22, 2.86±2.37, and 4.95±1.47 in the control group, respectively. The mean NRS scores of the patients at 15° elevation of the leg at the 30th min, 2nd, 6th, and 24th h were 3.06±1.80, 0.06±0.24, 0.22±0.43, and 2.44±1.50 in the PENG group and it was 5.24±1.81, 1.05±0.92, 4.29±2.35, and 7.14±1.24 in the control group, respectively.
PENG block can reduce pain and the need for systemic analgesics as a practical option in patients with HF.
髋部骨折（HF）是急诊科最常见的骨折之一，非常疼痛。囊周神经群阻滞（PENG）是一种新的区域麻醉技术，用于全髋关节置换术的镇痛。我们旨在确定 PENG 阻滞用于减轻急诊科 HF 患者疼痛的效果。
这是一项单中心、随机、前瞻性研究，在急诊科进行。根据将进行该手术的人员的适用性选择纳入研究的患者。使用密封信封系统进行随机分组。
对 39 名患者（PENG 组 18 名，对照组 21 名）进行了统计分析。13 名（33.3%）患者为女性，26 名（66.7%）为男性。平均年龄为 75.3 岁。术后休息时，PENG 组患者在 30 分钟、2 小时、6 小时和 24 小时的静息时数字评分量表（NRS）平均得分为 1.78±1.83、0.00±0.00、0.00±0.00 和 1.28±1.41，对照组患者分别为 3.38±1.86、0.05±0.22、2.86±2.37 和 4.95±1.47。30 分钟、2 小时、6 小时和 24 小时时，患者腿部抬高 15°时的 NRS 平均评分，PENG 组为 3.06±1.80、0.06±0.24、0.22±0.43 和 2.44±1.50，对照组为 5.24±1.81、1.05±0.92、4.29±2.35 和 7.14±1.24。
PENG 阻滞可以减少疼痛和对全身镇痛的需求，是 HF 患者的一种实用选择。
