老年人髋部骨折周围神经阻滞应用的研究进展  

Progress of the application of peripheral nerve blocks for older hip fractures in older adults

作　　者：吴金玉 张宏业[1] 华震[1] Wu Jinyu;Zhang Hongye;Hua Zhen(Department of Surgical Anaesthesia,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Graduate School of Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100730,China)

机构地区：[1]北京医院手术麻醉科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [2]中国医学科学院、北京协和医学院研究生院,北京100730

出　　处：《中华老年医学杂志》2024年第2期251-256,共6页Chinese Journal of Geriatrics

基　　金：中央高水平医院临床科研业务费(BJ-2020-168)。

摘　　要：老年髋部骨折患者常经历中到重度的疼痛,疼痛增加围术期并发症的风险、不利于患者术后早期活动和康复。周围神经阻滞被推荐用于老年髋部骨折患者的围术期镇痛。本文概述了髋关节神经支配、相关周围神经阻滞技术及其对老年髋部骨折患者术后并发症和术后康复的影响。基于现有的证据,周围神经阻滞对老年髋部骨折患者的预后有潜在的积极作用,未来仍需要高质量的临床研究进一步验证。Older patients with hip fractures often experience moderate to severe pain,which can increase the risk of complications during surgery and hinder early postoperative mobility and rehabilitation.To address this,peripheral nerve blocks have been suggested as a method for perioperative pain management in these patients.This article aims to provide an overview of the neural innervation of the hip joint,the techniques used for peripheral nerve blocks in hip fracture surgeries,and their impact on postoperative complications and recovery in older patients.Current evidence suggests that peripheral nerve blocks may have a positive effect on the prognosis of older patients with hip fractures.However,further high-quality clinical studies are required to validate these findings.

关 键 词：髋骨折 神经传导阻滞 手术后并发症 镇痛 

分 类 号：R614[医药卫生—麻醉学]