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| Application of Ultrasound-Guided Continuous Fascia Iliaca Compartment Block Combined with Remimazolam Besylate in Elderly Patients with Hip Fractures |
| REN Le, WANG Yanyan, WANG Wei, et al |
| The First People's Hospital of Anqing, Anhui Anqing 246000, China |
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Abstract Objective: To investigate the efficacy of ultrasound-guided continuous fascia iliaca compartment block (UCFICB) combined with remimazolam besylate in elderly patients with hip fractures and its impact on postoperative cognitive function and hemodynamic stability. Methods: Ninety elderly patients with hip fractures admitted to our hospital were randomly divided into a reference group and a study group. The reference group received UCFICB alone, while the study group received UCFICB combined with remimazolam besylate. Perioperative indicators, pain levels, hemodynamic parameters, cognitive function, anesthesia satisfaction, and adverse reactions were compared between the two groups. Results: The study group exhibited significantly shorter extubation time and anesthesia recovery time compared to the reference group (P<0.05). At 6 h and 24h postoperatively, the study group had significantly lower visual analog scale (VAS) scores and smaller fluctuations in heart rate (HR) and mean arterial pressure (MAP) than the reference group (P<0.05). Postoperative Mini-Mental State Examination (MMSE) scores and anesthesia satisfaction were significantly higher in the study group compared to the reference group (P<0.05). There was no significant difference in the incidence of adverse reactions such as dizziness and drowsiness between the two groups (P>0.05). Conclusion: The combination of UCFICB and remimazolam besylate in elderly patients with hip fractures provides superior analgesic effects, promotes faster recovery of postoperative cognitive function, and demonstrates significant clinical value.
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2025, Vol. 31 
