人工全膝关节置换术围手术期疼痛管理现状

发布时间：2018-03-10 06:34

本文选题：人工全膝关节置换术　切入点：疼痛管理　出处：《中国矫形外科杂志》2017年03期 　论文类型：期刊论文

【摘要】：人工全膝关节置换术后疼痛会显著影响患者的术后康复、延长住院时间以及降低满意度。随着对全膝关节置换术镇痛认识的提高和镇痛方案的完善,患者术后疼痛明显改善。本文由两名研究者在CNKI,CMCI,万方数据,Pubmed,EBSCO中完成了文献检索,最终有85篇文章被纳入,对当前人工全膝关节置换术围手术期常见的疼痛管理方案及现状做一综述。结果显示,疼痛管理最早起于术前超前镇痛,贯穿于包括麻醉、手术操作、术后管理在内的全部治疗过程中。多模式镇痛方案逐渐取代单一镇痛方案已是大势所趋。本文通过对人工全膝关节置换术后镇痛方案的总结,为骨科医生全膝关节置换术后镇痛提供借鉴,更好地进行围手术期的疼痛管理,从而使患者能够在术后获得更低的疼痛评分,加速术后康复,提高手术满意度。
[Abstract]:Pain after total knee arthroplasty significantly affected postoperative recovery, prolonged hospital stay and reduced satisfaction. Patients' pain was significantly improved after operation. Two researchers completed a literature search in CNKI CMCISCO, published in Pubmed EBSCO, and 85 articles were included. This paper reviews the current common pain management schemes and current situation in the perioperative period of total knee arthroplasty. The results show that pain management is the earliest in preemptive analgesia, including anesthesia and operation. In the whole treatment process including management after operation, it is a general trend that multi-mode analgesia plan gradually replaces single analgesia scheme. This paper summarizes the analgesic scheme after total knee arthroplasty. It can provide reference for orthopedic doctors to analgesia after total knee replacement and better perioperative pain management, so that patients can get lower pain score after operation, accelerate postoperative recovery and improve surgical satisfaction.
【作者单位】：中国医科大学附属盛京医院脊柱关节外科;
【分类号】：R687.4

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