髂筋膜间隙阻滞在老年髋关节置换术中的应用进展
Progress in the Application of Iliofascial Space Block in Elderly Hip Arthroplasty
DOI: 10.12677/JCPM.2024.31004, PDF,   
作者: 李 娜:青海大学研究生院,青海 西宁;陈仲海*:青海大学附属医院麻醉科,青海 西宁
关键词: 髂筋膜间隙阻滞髋关节置换术老年患者术后并发症Fascia Iliaca Compartment Block Hip Replacement Elderly Patients Postoperative Complications
摘要: 髋关节作为人体主要的负重关节,病损的发生率很高,一旦发病,往往限制髋关节功能,导致髋关节疼痛,走路跛行,严重影响生活质量。随着医疗技术的发展,人工髋关节置换术在改善关节功能,提升生活质量等方面发挥了重要作用。但是髋关节置换术后的疼痛及各种并发症也引起麻醉医生的重视,所以超声引导下髂筋膜间隙阻滞以位置浅表、操作简便、清晰成像、安全性高、阻滞率高等优点得以在髋关节置换术中广泛应用。本文就超声引导下髂筋膜间隙阻滞在髋关节置换术中的应用做一综述,为减轻老年患者髋关节置换术后的并发症提供理论依据,为提高麻醉质量和患者满意度提供应对计划。
Abstract: Hip joint as the main weight-bearing joint of the human body, the incidence of disease is very high, once the disease, it often limits the hip function, resulting in hip pain, walking lame, and seriously affecting the quality of life. With the development of medical technology, artificial hip replacement has played an important role in improving joint function and quality of life. However, the pain and various complications after hip arthroplasty have also attracted the attention of anesthesiologists. Therefore, ultrasus-guided iliofascial space block has been widely used in hip arthroplasty due to its superficial location, simple operation, clear imaging, high safety and high block rate. This article re-views the application of ultrasound-guided iliofascial space block in hip arthroplasty, providing theoretical basis for reducing complications after hip arthroplasty in elderly patients, and providing coping plans for improving anesthesia quality and patient satisfaction.
文章引用:李娜, 陈仲海. 髂筋膜间隙阻滞在老年髋关节置换术中的应用进展[J]. 临床个性化医学, 2024, 3(1): 18-23. https://doi.org/10.12677/JCPM.2024.31004

参考文献

[1] Le Manach, Y., Collins, G., Bhandari, M., et al. (2015) Outcomes after Hip Fracture Surgery Compared with Elective Total Hip Replacement. JAMA: Journal of the American Medical Association, 314, 1159-1166. [Google Scholar] [CrossRef] [PubMed]
[2] 魏滨, 王晓晓, 郭向阳. 老年患者髋部骨折术后肺部并发症的危险因素[J]. 临床麻醉学杂志, 2019, 35(7): 644-647.
[3] 魏滨, 徐懋, 张利萍, 等. 老年髋部骨折患者术后心血管并发症的危险因素分析[J]. 临床麻醉学杂志, 2018, 34(3): 222-225.
[4] 李增. 右美托咪定对七氟醚麻醉老年患者苏醒期躁动的影响[J]. 中国药物与临床, 2020, 20(9): 1519-1521.
[5] Dalens, B., Vanneuville, G. and Tanguy, A. (1989) Comparison of the Fasciailiaca Compartment Block with the 3-in-1 Block in Children. Anesthesia & Analgesia, 69, 705-713. [Google Scholar] [CrossRef
[6] 钱玉莹, 郭志远, 王祥和. 超声引导下髂筋膜间隙神经阻滞技术的研究进展[J]. 医学综述, 2018, 24(1): 160-164.
[7] Bullock, W.M., Yalamuri, S.M., Gregory, S.H., et al. (2017) Ultrasound-Guided Suprainguinal Fascia Iliaca Technique Provides Benefitas an Analgesic Adjunct for Patients Undergoing Total Hip Arthroplasty. Journal of Ultrasound in Medicine, 36, 433-438. [Google Scholar] [CrossRef] [PubMed]
[8] Dolan, J., Williams, A., Murney, E., et al. (2008) Ultrasound Guided Fascia Iliaca Block: A Comparison with the Loss of Resistance Technique. Regional Anesthesia and Pain Medicine, 33, 526-531. [Google Scholar] [CrossRef] [PubMed]
[9] Desmet, M., Balocco, A.L. and Van Belleghem, V. (2019) Fascia Iliaca Compartment Blocks: Different Techniques and Review of the Literature. Best Practice & Research Clinical An-aesthesiology, 33, 57-66. [Google Scholar] [CrossRef] [PubMed]
[10] Vermeylen, K., Desmet, M., Leunen, I., et al. (2019) Supra-Inguinal Injection for Fascia Iliaca Compartmentblock Results in More Consistent Spread towards the Lumbar Plexus than an In-fra-Inguinal Injection: A Volunteer Study. Regional Anesthesia and Pain Medicine, 44, 483-491. [Google Scholar] [CrossRef] [PubMed]
[11] 时洪武, 张晓青, 白明, 等. 不同入路行髂筋膜间隙神经阻滞对老年股骨颈骨折手术患者疼痛及术后转归影响[J]. 临床军医杂志, 2023, 51(1): 78-81. [Google Scholar] [CrossRef
[12] 孙西龙, 刘焕, 罗佳佳, 等. 不同入路髂筋膜阻滞对髋关节骨折手术患者行椎管内麻醉体位摆放的镇痛效应[J]. 山东医药, 2021, 61(22): 77-79.
[13] 谢铃. 超声引导下不同入路髂筋膜间隙阻滞对全髋关节置换术患者闭孔神经阻滞和术后镇痛效果的影响[J]. 当代医药论丛, 2022, 20(20): 62-65.
[14] 冯腾尘, 姚杰, 王佳奕, 等. 不同浓度罗哌卡因髂筋膜间隙阻滞对全髋关节置换术患者认知功能的影响[J]. 中国医药, 2022, 17(11): 1676-1680.
[15] 肖韦韦, 董红启, 李利敏. 超声引导下不同浓度罗哌卡因腰丛神经阻滞在老年患者髋关节置换术中的应用[J]. 组织工程与重建外科杂志, 2021, 17(3): 255-258, 261.
[16] Yan, S.C., Fu, S.X., Li, N., et al. (2021) Comparison of Analgesic Effects and Postoperative Cognitive Func-tion Following Total Knee Arthroplasty: Continuous Intravenous Infusion of Fentanyl vs. Ultrasound-Guided Continu-ous Femoral Nerve Block with Ropivacaine. American Journal of Translational Research, 13, 3174-3181.
[17] 孙红莉, 唐璟, 张双银, 等. 不同浓度罗哌卡因髂筋膜间隙阻滞镇痛的对比研究[J]. 中国疼痛医学杂志, 2019, 25(6): 437-442. [Google Scholar] [CrossRef
[18] 忻纪华, 张磊, 丁俊云, 等. 不同浓度罗哌卡因髂筋膜间隙阻滞 用于高龄患者半髋置换术麻醉效果的比较[J]. 山西医药杂志, 2018, 47(2): 131-134.
[19] 王春宜, 黄喜才. 不同浓度罗哌卡因髂筋膜阻滞老年患者下肢手术围手术期镇痛研究[J]. 包头医学院学报, 2021, 37(6): 16-18. [Google Scholar] [CrossRef
[20] 高琼, 马丹. 不同浓度罗哌卡因超声下髂筋膜间隙阻滞在老年患者髋关节置换术中的应用效果[J]. 临床医学研究与实践, 2022, 7(31): 103-106. [Google Scholar] [CrossRef
[21] 雷振, 应冰. 超声引导下高位髂筋膜间隙阻滞对老年股骨粗隆间骨折患者体位改变时镇痛效果的影响[J]. 当代医药论丛, 2022, 20(17): 23-25. [Google Scholar] [CrossRef
[22] Verbeek, T., Adhikary, S., Urman, R. and Liu, H. (2021) The Application of Fascia Iliaca Compartment Block for Acute Pain Control of Hip Fracture and Surgery. Current Pain and Headache Reports, 25, Article No. 22. [Google Scholar] [CrossRef] [PubMed]
[23] 陈冬红. 超声引导下腹股沟韧带上髂筋膜间隙阻滞应用于髋关节置换术的镇痛效果评价[J]. 数理医药学杂志, 2022, 35(4): 524-526.
[24] 李晓丹, 韩超, 喻文立. 髂筋膜间隙阻滞对老年患者髋部骨折手术围术期镇痛的影响Meta分析[J]. 临床麻醉学杂志, 2021, 37(7): 741-746. [Google Scholar] [CrossRef
[25] 冯腾尘, 王佳奕, 孙晓佳, 等. 不同入路髂筋膜间隙阻滞对老年全髋关节置换患者术后认知功能及细胞因子水平的影响[J]. 中国医师杂志, 2022, 24(11): 1702-1705. [Google Scholar] [CrossRef
[26] 孙倩倩, 余健, 程震. 连续髂筋膜间隙阻滞对老年患者髋部手术后认知功能及应激反应的影响[J]. 临床麻醉学杂志, 2021, 37(6): 603-606. [Google Scholar] [CrossRef
[27] Tang, L., Li, B., Guo, S., et al. (2022) Fascia Iliaca Compartment Block Can Reduce the Incidence of Early Post-Operative Cognitive Impairment in Elderly Patients with High-Risk Hip Replacement. Frontiers in Aging Neuroscience, 14, Article 1025545. [Google Scholar] [CrossRef] [PubMed]
[28] 王志广, 金海飞, 朱丽娜, 等. 全身麻醉结合髂筋膜间隙阻滞对髋关节置换术后疼痛及炎症应激介质分泌的影响[J]. 浙江创伤外科, 2019, 24(1): 204-206.
[29] 曾如筱, 李娟, 曹福羊, 等. 术前罗哌卡因联合右美托咪定和地塞米松髂筋膜间隙阻滞在高龄患者半髋关节置换术中的应用及对患者应激反应的影响[J]. 转化医学杂志, 2022, 11(6): 360-364.
[30] 谭赞全, 郑光明, 卢敏婷, 等. 连续髂筋膜间隙阻滞对老年人髋部骨折术后疼痛及应激反应的影响[J]. 现代中西医结合杂志, 2019, 28(8): 890-892, 897.
[31] Badner, N.H., Knill, R.L., Brown, J.E., Novick, T.V. and Gelb, A.W. (1998) Myocardial Infarction after Noncardiac Surgery. Anesthesiology, 88, 572-578. [Google Scholar] [CrossRef] [PubMed]
[32] Thomas, S., Borges, F., Bhandari, M., De Beer, J., Urrútia Cuchí, G., Adili, A., et al. (2020) Association between Myocardial Injury and Cardiovascular Outcomes of Or-thopaedic Surgery. Journal of Bone and Joint Surgery, 102, 880-888. [Google Scholar] [CrossRef
[33] 陈西艳, 张茂银. 罗哌卡因混合右美托咪定髂筋膜间隙阻滞复合全身麻醉对老年髋部手术患者的影响[J]. 齐齐哈尔医学院学报, 2023, 44(7): 611-615. [Google Scholar] [CrossRef