Ultrasound-guided single popliteal sciatic nerve block is an effective postoperative analgesia strategy for calcaneal fracture: a randomized clinical trial

被引：14

作者：

Li, Yanan ^{[1
]}

Zhang, Qi ^{[1
,2
]}

Wang, Ying ^{[1
]}

Yin, Chunping ^{[1
]}

Guo, Junfei ^{[3
,4
]}

Qin, Shiji ^{[5
]}

Zhang, Yahui ^{[6
]}

Zhu, Lian ^{[3
,4
]}

Hou, Zhiyong ^{[3
,4
]}

Wang, Qiujun ^{[1
]}

机构：

[1] Hebei Med Univ, Dept Anesthesiol, Hosp 3, 139 Ziqiang Rd, Shijiazhuang, Hebei, Peoples R China

[2] Hebei Med Univ, Dept Anesthesiol, Childrens Hosp Hebei Prov, Shijiazhuang, Hebei, Peoples R China

[3] Hebei Med Univ, Hosp 3, Dept Orthopaed, Shijiazhuang, Hebei, Peoples R China

[4] Key Lab Orthopaed Biomech Hebei Prov, Shijiazhuang, Hebei, Peoples R China

[5] Hebei Med Univ, Dept Foot & Ankle Surg, Hosp 3, Shijiazhuang, Hebei, Peoples R China

[6] Hebei Med Univ, Dept Nursing, Hosp 3, Shijiazhuang, Hebei, Peoples R China

来源：

BMC MUSCULOSKELETAL DISORDERS | 2021年 / 22卷 / 01期

关键词：

Sciatic nerve block; Calcaneal fracture; Analgesia; Ultrasound; Adverse reactions; Randomized trail; PAIN MANAGEMENT; ANKLE SURGERY; SPINAL-ANESTHESIA; RISK-FACTORS; NAUSEA; COMPLICATIONS; FOOT; EFFICACY; OPIOIDS; SAFETY;

D O I：

10.1186/s12891-021-04619-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Objectives: The aim of this study was to evaluate the postoperative analgesia effect of ultrasound-guided single popliteal sciatic nerve block for calcaneal fracture. Methods: A total of 120 patients scheduled for unilateral open reduction and internal fixation of calcaneal fracture were enrolled in this prospective randomized study. Patients in group B received ultrasound-guided single popliteal sciatic nerve block after operation, but Patients in group A did not. All patients received patient-controlled intravenous analgesia (PCIA) after operation. The time to initiation of PCIA, the time of first pressing the analgesia pump, duration of analgesia pump use and the total number of times the patient pressed the analgesia pump were recorded. The time of rescue analgesia and the adverse reactions were recorded. Pain magnitude of the patients immediately after discharge from operating room (T1), and at 4th (T2), 8th (T3), 12th (T4), 16th (T5), 24th (T6) and 48th (T7) h after the operation were assessed with visual analog scale (VAS). In addition, patient, surgeon and nurse satisfaction were recorded. Results: The VAS scores at T2 similar to T5, the time of rescue analgesia and the adverse reactions, the total number of times the patient pressed the analgesia pump were significantly declined in group B (p < 0.001). The time to initiation of PCIA, the time of first pressing the analgesia pump, duration of analgesia pump use were prolonged and patient surgeon and nurse satisfaction were improved in group B (p < 0.05). Conclusion: Ultrasound-guided single popliteal sciatic nerve block is an effective postoperative analgesia strategy for calcaneal fracture.

引用

页数：9

共 35 条

[1] Evidence-based analysis of risk factors for postoperative nausea and vomiting [J].