Observation of Postoperative Analgesia in Elderly Patients with PFNA By Routine Pulsed Lumbar Plexus Administration

10.6913/MRHK.201912_1(1).0004

Song Zhi-yong；Wang Qi

Observation of Postoperative Analgesia ； Elderly Patients ； PFNA

Medical Research

1卷1期（2019 / 12 / 31）

23 - 25

英文

Objective: to observe the postoperative analgesia of elderly patients with PFNA by pulsed lumbar plexus administration. Methods: 90 patients with PFNA postoperative analgesia were selected and divided into three groups on average. The first group, 30 routine PCIA. The second group received PCEA analgesia after spinal anesthesia. In the third group, the intraoperative lumbar plexus nerve block was completed and the anesthetic catheter was indwelling. The drug administration mode was programmed pulse administration without background dose. The pain index, movement tissue index and the incidence of various adverse reactions were observed after PFNA. Results: the pain score of peripheral nerve block program pulse group was significantly lower than that of general anesthesia group, the incidence of motor tissue was lower than that of epidural group, and the incidence of side effects was lower than that of general anesthesia group and epidural group. Conclusion: patients with PFNA is mostly elderly patients with varying degrees of system disease and organ function degradation, extra week nerve block program pulse to VAS score is lower and less motor block, fewer side effects, is PFNA more effective postoperative analgesia mode, you can reply as soon as possible to the patient's activity ability, improve the prognosis of patients.