PDF(Pubmed)
Abstract：
UNASSIGNED: Femoral nerve block is a widely used analgesia technique for positioning before spinal anaesthesia for proximal femur fracture surgeries. Pericapsular nerve group (PENG) block is a newer technique with motor-sparing characteristics. We compared the analgesic efficacy of these blocks for patient positioning for spinal anaesthesia.
UNASSIGNED: In this study, 60 patients were randomised to either the PENG group (n = 30) or the femoral group (n = 30). After performing the block, the pain was assessed every 10 min using a visual analogue scale (VAS) score for 30 min. The primary objective was the median [interquartile range (IQR)] reduction in pain (dynamic VAS with 15-degree passive limb elevation) at 30 min. Secondary objectives were ease of spinal position score (EOSP), angle obtained during positioning, duration of postoperative analgesia and quadriceps weakness.
UNASSIGNED: The demographics were comparable in both groups. After 30 min, the median (IQR) VAS was 6 (5-7) in the PENG group and 5 (5-6) in the femoral group (P = 0.004). Secondary outcomes such as EOSP score and angle obtained by patients were comparable. In the postoperative period, patients had significantly lower pain in the PENG group compared to the femoral group. The duration of analgesia was prolonged with PENG block. Quadriceps weakness was significantly low with PENG block (P < 0.001).
UNASSIGNED: PENG block provides better analgesia than a femoral block before spinal anaesthesia for proximal femur fracture surgery. The postoperative duration of analgesia was also longer.
UNASSIGNED: In this study, 60 patients were randomised to either the PENG group (n = 30) or the femoral group (n = 30). After performing the block, the pain was assessed every 10 min using a visual analogue scale (VAS) score for 30 min. The primary objective was the median [interquartile range (IQR)] reduction in pain (dynamic VAS with 15-degree passive limb elevation) at 30 min. Secondary objectives were ease of spinal position score (EOSP), angle obtained during positioning, duration of postoperative analgesia and quadriceps weakness.
UNASSIGNED: The demographics were comparable in both groups. After 30 min, the median (IQR) VAS was 6 (5-7) in the PENG group and 5 (5-6) in the femoral group (P = 0.004). Secondary outcomes such as EOSP score and angle obtained by patients were comparable. In the postoperative period, patients had significantly lower pain in the PENG group compared to the femoral group. The duration of analgesia was prolonged with PENG block. Quadriceps weakness was significantly low with PENG block (P < 0.001).
UNASSIGNED: PENG block provides better analgesia than a femoral block before spinal anaesthesia for proximal femur fracture surgery. The postoperative duration of analgesia was also longer.
摘要：
■股神经阻滞是一种广泛使用的镇痛技术，用于股骨近端骨折手术的脊柱麻醉前定位。包膜神经群（PENG）阻滞是一种具有运动特性的较新技术。我们比较了这些块对患者脊柱麻醉的镇痛效果。
■在这项研究中，60例患者被随机分为PENG组（n=30）或股骨组（n=30）。执行块后，每10分钟使用视觉模拟评分(VAS)评分评估疼痛30分钟.主要目标是30分钟时疼痛的中位数[四分位距（IQR）]减少（动态VAS，15度被动肢体抬高）。次要目标是脊柱位置评分（EOSP），在定位过程中获得的角度，术后镇痛持续时间和股四头肌无力。
■两组的人口统计学具有可比性。30分钟后,PENG组和股骨组的中位VAS(IQR)为6(5-7),股骨组为5(5-6)(P=0.004).次要结果如患者获得的EOSP评分和角度具有可比性。在术后期间，PENG组患者的疼痛明显低于股骨组.PENG阻滞可延长镇痛时间。PENG阻滞后股四头肌无力显著降低(P<0.001)。
■PENG阻滞在股骨近端骨折手术的脊柱麻醉前提供比股骨阻滞更好的镇痛效果。术后镇痛时间也更长。
■在这项研究中，60例患者被随机分为PENG组（n=30）或股骨组（n=30）。执行块后，每10分钟使用视觉模拟评分(VAS)评分评估疼痛30分钟.主要目标是30分钟时疼痛的中位数[四分位距（IQR）]减少（动态VAS，15度被动肢体抬高）。次要目标是脊柱位置评分（EOSP），在定位过程中获得的角度，术后镇痛持续时间和股四头肌无力。
■两组的人口统计学具有可比性。30分钟后,PENG组和股骨组的中位VAS(IQR)为6(5-7),股骨组为5(5-6)(P=0.004).次要结果如患者获得的EOSP评分和角度具有可比性。在术后期间，PENG组患者的疼痛明显低于股骨组.PENG阻滞可延长镇痛时间。PENG阻滞后股四头肌无力显著降低(P<0.001)。
■PENG阻滞在股骨近端骨折手术的脊柱麻醉前提供比股骨阻滞更好的镇痛效果。术后镇痛时间也更长。
