全膝关节置换术中注射鸡尾酒式镇痛混合剂对膝关节中期功能的影响

发布时间：2017-12-27 18:07

本文关键词：全膝关节置换术中注射鸡尾酒式镇痛混合剂对膝关节中期功能的影响　出处：《中国骨与关节损伤杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的评价全膝关节置换(TKA)术中注射鸡尾酒式镇痛混合剂对膝关节中期功能和屈伸活动度的影响。方法笔者自2006-05—2007-05诊治80例行单侧全膝关节置换的膝关节骨性关节炎,随机分为试验组和对照组,对比2组术后中期随访时美国膝关节协会(KSS)评分和膝关节活动度(ROM)的差异。结果 64例获随访45~69个月,平均61个月,试验组有效随访31例,对照组有效随访33例。试验组KSS评分(91.9±4.4)分,屈膝角度(129.2±6.9)°,伸膝角度(0.5±1.2)°;对照组KSS评分(87.5±4.9)分,屈膝角度(121.5±7.1)°,伸膝角度(0.3±1.1)°,试验组KSS评分及主动屈膝活动度指标优于对照组,2组KSS评分(t=3.77,P=0.001)、主动屈膝活动度(t=4.40,P=0.001)比较差异有统计学意义,主动伸膝活动度2组比较差异无统计学意义(t=0.70,P=0.492)。结论鸡尾酒式镇痛混合剂改善TKA术后膝关节中期功能效果显著。
[Abstract]:Objective to evaluate the total knee arthroplasty (TKA) effects of intraoperative injection of cocktail analgesic mixture on extension activity of knee joint flexion and mid function. Methods 80 patients with knee osteoarthritis who underwent unilateral total knee arthroplasty from 2006-05 to 2007-05 were randomly divided into the experimental group and the control group. The difference between the 2 knee joint association (KSS) score and the knee range of motion (ROM) was compared between the two groups at the mid term follow-up. Results 64 cases were followed up for 45~69 months, with an average of 61 months. 31 cases were followed up effectively in the experimental group and 33 cases were followed up effectively in the control group. The KSS scores of test group (91.9 + 4.4), flexion angle (129.2 + 6.9) degrees of knee extension angle (0.5 + 1.2); control group KSS score (87.5 + 4.9), flexion angle (121.5 + 7.1) degrees of knee extension angle (0.3 + 1.1) degree, KSS score in the treatment group active flexion and activity index than the control group, the KSS scores of the 2 groups (t=3.77, P=0.001), active flexion activity (t=4.40, P=0.001) had a significant difference, active knee extensor activity of the 2 groups had no statistically significant difference (t=0.70, P=0.492). Conclusion cocktail analgesic mixture improves TKA postoperative knee function middle effect.
【作者单位】：湖北医药学院附属东风医院骨关节外科;上海长征医院关节外科中心;
【基金】：湖北省卫生计生科研项目基金(WJ2015MB215)
【分类号】：R687.4
【正文快照】： 全膝关节置换术(TKA)是膝关节终末期疾病可靠治疗术式,其中远期随访疗效令人满意[1]。笔者回顾性分析自2006-05—2007-05诊治的80例行单侧TKA的膝关节骨性关节炎,基于以往的研究结果[2],对初次TKA术中采取鸡尾酒注射镇痛方案(试验组)及未采用鸡尾酒注射方案(对照组)进行中期随

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