IJCEMR

Article http://dx.doi.org/10.26855/ijcemr.2024.07.005

Effects of Continuous Iliofascial Space Analgesia on Sleep Quality and Cognitive Function in Elderly Patients After Hip Surgery

TOTAL VIEWS: 482

Zhao Xu, Bing Shan, Yaya Wang, Yikang Zhao*

Department of Anesthesiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi, China.

*Corresponding author: Yikang Zhao

Published: August 16,2024

Abstract

Objective: To investigate the effects of continuous iliac fascia space analgesia on sleep quality and cognitive function in elderly patients after hip surgery. Methods: A total of 60 elderly patients with hip operations admitted to our hospital from April 2021 to October 2023 were randomly divided into a study group and a control group with 30 cases in each group. The study group received continuous iliac fascia space analgesia, and the control group received routine analgesia. Perioperative pain status, sleep quality, and cognitive function were evaluated and compared between the two groups. Results: The VAS score of the study group at 6h, 24h, and 48h after surgery was lower than that of the control group; the PSQI score of the study group at 1d, 3d, and 5d after surgery was lower than that of the control group; MoCA score of the study group at 1d, 3d and 5d after surgery was higher than that of the control group, with statistical significance (P < 0.05). Conclusion: Continuous iliofascial space analgesia in elderly patients undergoing hip surgery can improve early postoperative pain, and improve postoperative sleep quality, and cognitive function.

References

[1] Zhang WC, CAI N, Luo TJ, et al. Comparative study on analgesic effect of hip capsule peripheral nerve block and iliac fascia space block in elderly patients with intertrochanteric fracture [J]. Beijing Medical Journal, 2019, 46(02):123-126.

[2] Zou GF, Liao Q, Wang YP. Application of ultrasound-guided iliofascial space block in elderly patients undergoing hip replacement [J]. Chinese Journal of Gerontology, 2019, 44(02):311-314.

[3] Li YP, FY, Zhang X, et al. Analgesic effect of different ultrasound-guided iliofascial space blocks in elderly patients undergoing hip replacement [J]. Hainan Medicine, 2019, 34(23):3428-3432.

[4] Xu DD, Ge YL, Gao J. Application of peripheral capsular nerve block combined with unilateral subarachnoid anesthesia in total hip arthroplasty in elderly patients [J]. International Journal of Anesthesiology and Resuscitation, 2019, 44(11):1139-1143.

[5] Zhang BB, Zhang S, Chen QZ, et al. Analgesic effect of dexmedetomidine combined with Ropivacaine iliofascia space block in elderly patients undergoing hip replacement and its effect on PI3K-Akt signaling pathway [J]. Journal of Clinical and Experimental Medicine, 2019, 22(17):1901-1905.

[6] Qi MM, Li Y, Zhang TG, et al. Optimal anesthesia strategy for perihip fracture in elderly patients: Esketamine combined with iliofascial space-subarachnoid block [J]. Chinese Journal of Anesthesiology, 2019, 43(06):728-731.

[7] Ma LC, Xie M, Zhang J, et al. Application of dexmedetomidine combined with iliofascial space block in accelerated rehabilitation of total hip arthroplasty in elderly patients [J]. Journal of North Sichuan Medical College, 2019, 38(06):773-776.

[8] Gao Q, Ma D. Application of B-ultrasound-guided iliofascia space and sacral plexus block combined with dexmedetomidine continuous pumping in the treatment of elderly hip fractures [J]. Journal of Clinical Medicine Research and Practice, 2019, 8(13):74-77.

[9] Li XP, Zheng YL, GAO XM, et al. Comparison of perioperative analgesia effect between continuous hip capsule peripheral nerve block and continuous iliofascial space block in elderly patients with total hip replacement [J]. Journal of Clinical Anesthesiology, 2019, 39(03):254-259.

[10] GAO XM, Zheng YL, Li XP, et al. Application of hip capsule peripheral nerve block and iliac fascia space block in early analgesia in elderly patients with hip fracture [J]. Chinese Journal of Emergency Medicine, 42(12):1089-1093.

[11] Zhang ZM, Song YB, Liu CC, et al. Effect of hip joint injection guided by ultrasound and iliofascial space block on preoperative analgesia in elderly patients with hip fractures [J]. International Journal of Anesthesiology and Resuscitation, 43(11):1163-1167.

How to cite this paper

Effects of Continuous Iliofascial Space Analgesia on Sleep Quality and Cognitive Function in Elderly Patients After Hip Surgery

How to cite this paper: Zhao Xu, Bing Shan, Yaya Wang, Yikang Zhao. (2024) Effects of Continuous Iliofascial Space Analgesia on Sleep Quality and Cognitive Function in Elderly Patients After Hip Surgery. International Journal of Clinical and Experimental Medicine Research8(3), 399-403.

DOI: http://dx.doi.org/10.26855/ijcemr.2024.07.005