Tavares Bruno Silva, Machado Rafael DE Almeida, Arruda Ulisses Tavares DE, Oliveira Leandro Alves DE
Hospital Estadual de Urgências da Região Noroeste de Goiânia Governador Otávio Lage de Siqueira, Goiânia, GO, Brazil.
Acta Ortop Bras. 2022 Aug 26;30(4):e258190. doi: 10.1590/1413-785220223004e258190. eCollection 2022.
To evaluate pain and mobility in patients with transtrochanteric fractures subjected to osteosynthesis with pericapsular nerve group (PENG) block and compare with patients who did not receive the block.
The medical records of 49 patients were analyzed and data were collected regarding: age, gender, anesthetic evaluation, cause of trauma, locomotion, fracture classification, type of anesthesia used, anesthetic technique, pain, opioid administration and mobility with partial load.
Out of 49 patients, 17 (34.7 %) received PENG block. After surgery, most patients complained of pain and opioids were administered (67.3 %), with greatest frequency in the group without PENG block (93.3 %). Most patients who received PENG block walked within 6 h after surgery (52.9 %) and all recovered the ability to walk until hospital discharge (48 h), different from the group that did not receive PENG block (p = 0.012). The groups showed a significant difference between them regarding the frequency of reports of moderate to severe pain (p = 0.003).
The use of PENG block in patients with transtrochanteric fractures subjected to osteosynthesis can help to reduce postoperative pain, early mobility with partial load and less use of opioids.
评估采用关节囊周围神经组（PENG）阻滞进行骨固定术的转子间骨折患者的疼痛和活动能力，并与未接受该阻滞的患者进行比较。
分析49例患者的病历，并收集以下数据：年龄、性别、麻醉评估、创伤原因、运动能力、骨折分类、所用麻醉类型、麻醉技术、疼痛情况、阿片类药物使用情况以及部分负重下的活动能力。
49例患者中，17例（34.7%）接受了PENG阻滞。术后，大多数患者抱怨疼痛并使用了阿片类药物（67.3%），在未接受PENG阻滞的组中使用频率最高（93.3%）。大多数接受PENG阻滞的患者在术后6小时内行走（52.9%），并且所有患者在出院（48小时）前恢复了行走能力，这与未接受PENG阻滞的组不同（p = 0.012）。两组在中度至重度疼痛报告频率方面存在显著差异（p = 0.003）。
对于接受骨固定术的转子间骨折患者，使用PENG阻滞有助于减轻术后疼痛、促进早期部分负重活动并减少阿片类药物的使用。
