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| Effects of Ultrasound-Guided Fascia Iliac Compartment Block Combined with Intraspinal Anesthesia on Postoperative Analgesia and Stress Response in Elderly Patients Undergoing Femoral Head Replacement |
| WANG Congli, LI Huiyun, WANG Jianping |
| Department of Anesthesiology, Yuzhou People's Hospital, Xuchang Henan 461670 |
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Abstract 【Objective】To investigate the effects of ultrasound-guided fascia iliac compartment block (FICB) combined with intraspinal anesthesia on postoperative analgesia and stress response in elderly patients undergoing femoral head replacement. 【Methods】Sixty elderly patients undergoing femoral head replacement were divided according to anesthesia methods into the control group (n=30, receiving intraspinal anesthesia) and the observation group (n=30, receiving ultrasound-guided FICB combined with intraspinal anesthesia). Postoperative pain intensity [visual analogue scale (VAS)] at rest and during movement at 4 h, 8 h, and 24 h, analgesic outcomes, stress response indicators [cortisol (COR), epinephrine (E), and adrenocorticotropic hormone (ACTH)] before surgery and 24 h after surgery, as well as postoperative complications, were compared between the two groups.【Results】At 4 h, 8 h, and 24 h after surgery, VAS scores at rest and during movement decreased gradually in both groups, with statistically significant differences between time points (P<0.05). The VAS scores at all time points were lower in the observation group compared with the control group (P<0.05). The time to first press of the analgesia pump was longer, sufentanil consumption within 24 h was lower, and the rate of rescue analgesia was reduced in the observation group compared with the control group (P<0.05). At 24 h after surgery, COR, E, and ACTH levels were significantly higher than preoperative levels in both groups, but the levels of COR, E, and ACTH in the observation group were lower than those in the control group (P<0.05). The overall incidence of complications in the observation group was also lower than that in the control group (P<0.05).【Conclusion】FICB combined with intraspinal anesthesia can improve postoperative analgesic effects, alleviate stress responses, and reduce the incidence of complications in elderly patients undergoing femoral head replacement.
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Received: 18 November 2024
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2025, Vol. 42 
