Pericapsular Nerve Group (PENG) Block Versus Periarticular Injection for Pain Management After Total Hip Arthroplasty: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 66
- 试验地点
- 2
- 主要终点
- Numeric rating scale pain score
研究概览
简要总结
Adequate pain control after total hip arthroplasty is crucial for early ambulation and patient satisfaction. The pericapsular nerve group (PENG) block has been recently introduced a new technique for blockade of the articular branches of the femoral, obturator and accessory obturator nerves. PENG block provides sufficient analgesia but it is still the potential for quadriceps weakness that might delay ambulation. Periarticular injection has attached attention as an effective analgesic modality with a low prevalence of adverse effects. The investigators will compare ultrasound-guided PENG block with periarticular injection in patients undergoing total hip arthroplasty.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 19 years old or older
- •American Society of Anesthesiologists Physical Status 1-3
- •Scheduled for elective unilateral total hip arthroplasty
排除标准
- •Allergy or intolerance to any of the drugs used in the study
- •Hepatic or renal insufficiency
- •Opioid dependency
- •Coagulopathy
- •Pre-existing neurologic or anatomic deficits in the lower extremities
- •Severe psychiatric illness
研究组 & 干预措施
Periarticular block
Participants receiving periarticular block
干预措施: Periarticular block (Procedure)
Pericapsular nerve group block
Participants receiving pericapsular nerve group block
干预措施: Pericapsular nerve group block (Procedure)
结局指标
主要结局
Numeric rating scale pain score
时间窗: at 24 hours postoperatively
Pain intensity at rest evaluated by an 11-point numeric rating scale (NRS: 0 = no pain, 10 = worst imaginable pain) at 24 hours postoperatively
次要结局
- Numeric rating scale pain score(at 6 hours postoperatively and 48h postoperatively)
- Quadriceps muscle strength(at 24 hours postoperatively)