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首页> 外文期刊>Acute pain: international journal of acute pain management >Does femoral nerve analgesia impact the development of postoperative delirium in the elderly? A retrospective investigation
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Does femoral nerve analgesia impact the development of postoperative delirium in the elderly? A retrospective investigation

机译：股神经镇痛会影响老年人术后ir妄的发展吗？回顾性调查

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Background: The potential effects of femoral nerve analgesia on postoperative delirium and length of stay remains poorly investigated. After detecting several cases of delirium in postoperative patients, we sought to find out if femoral nerve analgesia would prove superior in the prevention of postoperative delirium when compared to a conventional analgesia regimen. Methods: Ninety-nine (99) patients were retrospectively investigated for delirium following hip fracture repair in 1 year (October 2004-October 2005). Patients were divided in two groups: Group 1 (n = 49) received patient-controlled femoral nerve analgesia (PCAF), Group 2 (n = 50) were treated with intravenous analgesia. All patients were studied for the following variables: age, gender, previous dementia, length of hospitalisation, blood transfusion, haemoglobin level at discharge, delirium, respiratory failure or oxygen therapy, heart failure or acute coronary disease, renal failure, stroke, rescue opioid analgesia, sitting and walking times, patients discharge to rehabilitation centre and patients discharge without walking recovery. Results: Patients in Group 1 showed significantly less occurrence of postoperative delirium than those treated with conventional analgesia (8.2% and 42%, respectively). Patients in PCAF group did not receive any morphine rescue medication in contrast to 28% of those of Group 2 (p< 0.001). Peripheral nerve analgesia substantially reduced the time when patients could first sit at their bedside (1.6 ?6 and 2.0 ?8, respectively). Conclusions: The incidence of postoperative delirium was lower in the PCAF group. The PCAF technique in hip fracture repair improves the quality of postoperative analgesia, without needing rescue opioid analgesia.
机译：背景：股神经镇痛对术后del妄和住院时间的潜在影响仍未得到很好的研究。在对术后患者发生several妄的几例进行调查后，我们试图找出与常规镇痛方案相比，股神经镇痛在预防术后del妄方面是否具有优势。方法：回顾性分析了99例（99）患者在1年内（2004年10月至2005年10月）髋关节骨折修复后的repair妄情况。将患者分为两组：第1组（n = 49）接受了患者控制的股神经镇痛（PCAF），第2组（n = 50）接受了静脉镇痛。研究了所有患者的以下变量：年龄，性别，先前的痴呆症，住院时间，输血，出院时血红蛋白水平，ir妄，呼吸衰竭或氧气疗法，心力衰竭或急性冠状动脉疾病，肾衰竭，中风，阿片类药物抢救镇痛，坐和走的时间，病人出院到康复中心，病人出院而没有步行恢复。结果：第1组患者的ir妄发生率明显低于常规镇痛剂（分别为8.2％和42％）。 PCAF组的患者未接受任何吗啡急救药物，而第二组为28％（p <0.001）。周围神经镇痛大大减少了患者首次坐在床边的时间（分别为1.6？6和2.0？8）。结论：PCAF组术后del妄的发生率较低。髋部骨折修复中的PCAF技术可提高术后镇痛的质量，而无需抢救阿片类镇痛。

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