Ding Genfeng, Shang Jinling, Wang Qing
Genfeng Ding Anesthesia Surgery Department, First people's Hospital of Yong Kang, Yongkang, Zhejiang Province 321300, P.R. China.
Jinling Shang Tumor Radiotherapy Department, First people's Hospital of Yong Kang, Yongkang, Zhejiang Province 321300, P.R. China.
Pak J Med Sci. 2025 Jan;41(1):71-76. doi: 10.12669/pjms.41.1.10715.
To evaluate the efficacy of supra-inguinal fascia iliaca compartment block (S-FICB) in patients undergoing proximal femoral nail antirotation (PFNA) internal fixation surgery for intertrochanteric fracture (ITF).
Retrospective analysis of 95 patients with ITF undergoing PFNA internal fixation surgery in the First People's Hospital of Yong Kang from March 2021 to August 2023 was performed. Among them, 49 patients received general anesthesia (GA; GA group) and 46 patients received S-FICB combined with general anesthesia (S-FICB group). Mean arterial pressure (MAP), heart rate (HR), anesthesia effect, pain, stress index levels, functional recovery, and adverse reactions were compared between two groups.
Perioperative MAP and HR, extubation time, anesthesia recovery time, and dosage of remifentanil and propofol were significantly lower compared to the GA group (<0.05). Perioperative pain level in the S-FICB group was significantly lower than in the GA group (<0.05). On the first day after the surgery, stress response of the S-FICB group was significantly lower than that of the GA group (<0.05). Patients who underwent S-FICB required significantly shorter time for getting out of bed and for straight leg elevation, and lower hospitalization time (<0.05).
Compared to GA, S-FICB for ITF internal fixation surgery is associated with more stable hemodynamics, lower pain levels, less consumption of opioids, lower perioperative stress response, reduced postoperative complications, and shorter hospital stay in patients during the perioperative period.
评估腹股沟上筋膜髂筋膜间隙阻滞（S-FICB）在股骨近端防旋髓内钉（PFNA）内固定治疗股骨转子间骨折（ITF）患者中的疗效。
回顾性分析2021年3月至2023年8月在永康市第一人民医院接受PFNA内固定手术的95例ITF患者。其中，49例患者接受全身麻醉（GA；GA组），46例患者接受S-FICB联合全身麻醉（S-FICB组）。比较两组患者的平均动脉压（MAP）、心率（HR）、麻醉效果、疼痛、应激指标水平、功能恢复情况及不良反应。
与GA组相比，围手术期MAP、HR、拔管时间、麻醉恢复时间以及瑞芬太尼和丙泊酚用量均显著降低（<0.05）。S-FICB组围手术期疼痛水平显著低于GA组（<0.05）。术后第一天，S-FICB组的应激反应显著低于GA组（<0.05）。接受S-FICB的患者下床和直腿抬高所需时间显著缩短，住院时间也更短（<0.05）。
与GA相比，S-FICB用于ITF内固定手术可使患者围手术期血流动力学更稳定、疼痛水平更低、阿片类药物用量更少、围手术期应激反应更低、术后并发症减少且住院时间更短。
