| 股神经阻滞在全膝人工关节表面置换围手术期多模式镇痛中的应用 |
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| 引用本文： | 方锐,邓迎杰,孟庆才,宋玉成. 股神经阻滞在全膝人工关节表面置换围手术期多模式镇痛中的应用[J]. 中国组织工程研究与临床康复, 2011, 15(43): 8027-8030. DOI: 10.3969/j.issn.1673-8225.2011.43.012 |
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| 作者姓名： | 方锐 邓迎杰 孟庆才 宋玉成 |
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| 作者单位： | 新疆维吾尔自治区中医医院,新疆维吾尔自治区乌鲁木齐市,830000 |
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| 摘 要： | 背景:股神经阻滞作为一种新兴疼痛控制方式在人工膝关节置换后的应用尚未见广泛开展。目的:观察股神经阻滞在人工膝关节表面置换围手术期镇痛中的临床疗效。方法:将接受单侧人工膝关节表面置换的77例患者随机分为治疗组(32例)和对照组(35例),两组患者均采用多模式镇痛方式,即置换前3d口服塞来昔布+术中术区局部"鸡尾酒疗法"注射+自控静脉镇痛泵;另外,治疗组患者置换后则于患侧行股神经阻滞。结果与结论:人工膝关节表面置换后48h内,治疗组吗啡使用量及相关不良反应明显低于对照组(P<0.05);置换后1周内,治疗组患者疼痛目测类比评分与关节活动度改善情况明显优于对照组(P<0.05);两组患者置换后3个月HSS评分比较,差别无显著性意义(P>0.05)。结果显示膝关节表面置换后应用股神经阻滞技术可有效缓解置换后疼痛并促进关节功能早期恢复,同时可降低吗啡用量,从而有效减少相关不良反应的发生。因此,该方法是一种安全有效、镇痛效果满意的镇痛方法。
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| 关 键 词： | 股神经阻滞 膝关节 关节置换术 镇痛 临床疗效 |
Application of continuous femoral nerve block for perioperative management of pain in total knee arthroplasty |
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| Fang Rui,Deng Ying-jie,Meng Qing-cai,Song Yu-cheng. Application of continuous femoral nerve block for perioperative management of pain in total knee arthroplasty[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(43): 8027-8030. DOI: 10.3969/j.issn.1673-8225.2011.43.012 |
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| Authors: | Fang Rui Deng Ying-jie Meng Qing-cai Song Yu-cheng |
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| Affiliation: | Fang Rui,Deng Ying-jie,Meng Qing-cai,Song Yu-cheng Xinjiang Hospital of Traditional Chinese Medicine,Urumqi 830000,Xinjiang Uygur Autonomous Region,China |
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| Abstract: | BACKGROUND:Femoral nerve block as a new pain control after total knee arthroplasty has not been widely carried out.OBJECTIVE:To observe the clinical efficacy of continuous femoral nerve block for perioperative management of pain in total knee arthroplasty.METHODS:A total of 77 patients were randomized into study group (32 cases) and control group (35 cases).All patients received a basic analgesic regimen:oral administration of celecoxib preoperatively and injection of cocktail therapy intraoperatively.In ad... |
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