全膝关节置换术后切口局部持续罗哌卡因浸润麻醉镇痛的疗效分析
发布时间：2019-03-05 11:57
【摘要】：目的评价全膝关节置换术后于手术切口局部行持续浸润麻醉镇痛的有效性及安全性。方法将2015年8月至2016年5月共48例于西南医科大学附属中医医院行初次单侧膝关节置换的患者按系统随机抽样法分为3组:对照组16例患者术后未行手术切口的局部持续浸润麻醉及股神经阻滞镇痛,16例患者术后接受术侧股神经阻滞镇痛(CFNB)组,16例患者术后行手术切口局部罗哌卡因持续浸润麻醉镇痛(CWI)组。对比3组患者术前一般情况、术后1~3d运动及静息时手术部位的疼痛视觉模拟评分(VAS)、术后早期功能恢复情况及术后并发症情况。结果所有患者均获得随访,3组患者在术前一般情况及术后并发症方面差异无统计学意义(P0.05);术后1~3d运动状态下及术后第1天静息状态下VAS评分CWI组及CFNB组情况相似,均低于对照组,差异有统计学意义(P0.05);CWI组患者术后早期功能恢复情况优于对照组及CFNB组。结论全膝关节置换术后于手术切口局部行持续浸润麻醉镇痛可减少患者术后疼痛,促进患者术后早期功能锻炼及康复,提高患者满意度。
[Abstract]:Objective to evaluate the efficacy and safety of continuous infiltration anesthesia in local incision after total knee arthroplasty. Methods from August 2015 to May 2016, 48 patients with primary unilateral knee arthroplasty were randomly divided into 3 groups: control group (n = 16) without surgical incision. Local continuous infiltration anesthesia and femoral nerve block analgesia, 16 patients received lateral femoral nerve block analgesia (CFNB) group) and 16 patients received local ropivacaine anesthesia (CWI) group) after operation. The patients were divided into two groups: control group (n = 16) and (CWI) group (n = 16). The early functional recovery and postoperative complications were compared among the three groups before operation, 1 day after operation and 3 days at rest. The pain visual analogue score (VAS),) was used to evaluate the early functional recovery and postoperative complications of the patients in the three groups. Results all the patients were followed up. There was no significant difference in the general situation before operation and postoperative complications among the three groups (P0.05). The VAS scores in CWI group and CFNB group were similar to those in control group at 1-3 days after operation and at rest on the first day after operation, and the difference was statistically significant (P0.05). The early functional recovery of); CWI group was better than that of control group and CFNB group (P0.05). Conclusion continuous infiltration anesthesia after total knee arthroplasty can reduce postoperative pain, promote early functional exercise and recovery, and improve patient satisfaction.
【作者单位】： 西南医科大学附属中医医院麻醉科;四川省泸州市中医院骨关节科;
【基金】：四川省卫生厅科研课题(130274) 四川省泸州市科研课题[2011-I-S41(4/4)]
【分类号】：R614
本文编号：2434881
[Abstract]:Objective to evaluate the efficacy and safety of continuous infiltration anesthesia in local incision after total knee arthroplasty. Methods from August 2015 to May 2016, 48 patients with primary unilateral knee arthroplasty were randomly divided into 3 groups: control group (n = 16) without surgical incision. Local continuous infiltration anesthesia and femoral nerve block analgesia, 16 patients received lateral femoral nerve block analgesia (CFNB) group) and 16 patients received local ropivacaine anesthesia (CWI) group) after operation. The patients were divided into two groups: control group (n = 16) and (CWI) group (n = 16). The early functional recovery and postoperative complications were compared among the three groups before operation, 1 day after operation and 3 days at rest. The pain visual analogue score (VAS),) was used to evaluate the early functional recovery and postoperative complications of the patients in the three groups. Results all the patients were followed up. There was no significant difference in the general situation before operation and postoperative complications among the three groups (P0.05). The VAS scores in CWI group and CFNB group were similar to those in control group at 1-3 days after operation and at rest on the first day after operation, and the difference was statistically significant (P0.05). The early functional recovery of); CWI group was better than that of control group and CFNB group (P0.05). Conclusion continuous infiltration anesthesia after total knee arthroplasty can reduce postoperative pain, promote early functional exercise and recovery, and improve patient satisfaction.
【作者单位】： 西南医科大学附属中医医院麻醉科;四川省泸州市中医院骨关节科;
【基金】：四川省卫生厅科研课题(130274) 四川省泸州市科研课题[2011-I-S41(4/4)]
【分类号】：R614
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