Tác dụng giảm đau của gây tê nhóm thần kinh bao khớp háng trên bệnh nhân gãy liên mấu chuyển xương đùi

Abstract

Objective: To evaluate the analgesic of pericapsular nerve group block in patients with intertrochanteric fracture. Subject and method: 30 patients experience intertrochanteric fracture indicated for locking plate, by spinal anesthesia. Pericapsular nerve group block by lidocaine 1% using ultrasound guidane was performed 30 minutes before spinal anesthesia with sitting position. Evaluation of VAS score at before and after PENG blockade, pain and flexion when spinal anesthesia sitting position, complication. Result: The VAS score both in dynamic state and at rest at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 25 minutes, 30 minutes after PENG blockade were smaller than that before performace, p<0.05. 26/30 (86.7%) patients were sitting without or slight pain, 29/30 (96.7%) patients were good and average flexion during spinal anesthesia, no record complication. Conclusion: PENG block influenced on the analgesia during positioning for spinal anesthesia and improved patient position.