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首页> 外文期刊>Acute pain: international journal of acute pain management >Nurse administered fascia iliaca compartment block for pre-operative pain relief in adult fractured neck of femur
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Nurse administered fascia iliaca compartment block for pre-operative pain relief in adult fractured neck of femur

机译：护士用ilia筋膜腔室阻滞术治疗成人股骨骨折颈的术前疼痛

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摘要

Aim: To assess the efficacy of fascia iliaca compartment block (FICB) administered by pain specialist nurses to relieve pain after fractured neck of femur in adults. Method: Approval was obtained to train two pain nurses on how to perform FICB. Exclusion criteria were set out and adhered to. 30 ml of 0.25% plain bupivacaine was given to establish the block. Pain score using the visual analogue scales was documented pre-block and then at 15 min, 2 h, 8 h and 24 h after the block. Results: Eleven male and 24 female patients aged 62-102 years had the block. The pain score at presentation for all the patients was 8-10. Fifty-four, 72.7, 77.4 and 80% of the patients had a pain score of 4 or less at 15 min, 2 h, 8h and 24 h, respectively, after the block. The frequency for the additional analgesics varied between 0 and 2 times in 24 h post-block. There were no reported complications as a result of the procedure.Conclusion: FICB provided pain relief after fractured neck of femur in more than 70% of patients and can be successfully performed by other trained health care providers without anaesthetic background.
机译：目的：评估由疼痛专科护士提供的of肌筋膜室阻滞（FICB）缓解成人股骨颈骨折后疼痛的功效。方法：获得批准，对两名疼痛护理人员进行FICB培训。列出并遵守排除标准。给予30 ml的0.25％普通布比卡因以建立阻滞作用。阻断前，然后在阻断后15分钟，2小时，8小时和24小时使用视觉模拟量表记录疼痛评分。结果：年龄在62-102岁之间的11例男性和24例女性患者患有阻塞性疾病。所有患者的疼痛评分均为8-10。阻断后15分钟，2小时，8小时和24小时，分别有54％，72.7、77.4和80％的患者的疼痛评分为4或更低。阻滞后24小时内，其他止痛药的频率在0到2次之间变化。结论：FICB在70％以上的患者股骨颈骨折后可缓解疼痛，并且可以由其他接受过麻醉的训练有素的医疗服务提供者成功实施。

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