关键词: 髂筋膜间隙神经阻滞, 超声, 膝关节, 镇痛

Abstract:

Objective　To research the efficacy of postoperative analgesia with ultrasound guided fascia iliaca compartment nerve block used in arthroscopically-assisted knee operation.　Method　Sixty patients undergoing arthroscopically-assisted knee operation were divided randomly into two groups of thirty: a normal group (A, n=30) and a research group (B, n=30). All of the patients were operated undergeneral anesthesia. Patients in group B received ultrasound-guided fascia iliaca compartment block before operation and patients in group A were received none. the analgesia effect (VAS) on postoperative 6h,12h, 24h and analgesia drugs consumption, incidence of side effects, degree of comfort in 24 hours after operation in all patients were observed.　Results　Compared with group A，analgesic effect was significantly better with less extra drugs consumption and higher degree of comfort in group B. Group B had fewer complications but no statistical difference was detected.　Conclusion　Ultrasound guided fascia iliaca compartment nerve blockused in arthroscopically-assisted knee operation can bring better postoperative analgesia and reduce the adverse effects. It can make patients feel comfortable.

Key words: Fascia iliaca compartment nerve block, Ultrasound, Arthroscopically-assisted knee operation, Analgesia