| 全膝关节置换术围手术期疼痛的原因及镇痛的研究进展 |
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投稿时间：2015-05-31
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| 作者 | Author | 单位 | Address | E-Mail |
| 杨晓笛 |
YANG Xiao-di |
吉林大学第一医院骨关节外科, 吉林 长春 130021 |
Department of Bone Joint Surgery, the First Hospital of Jilin University, Changchun 130021, Jilin, China |
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| 张聘聘 |
ZHANG Pin-pin |
吉林大学第一医院老年病科, 吉林 长春 130021 |
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| 张宇 |
ZHANG Yu |
吉林大学第一医院骨关节外科, 吉林 长春 130021 |
Department of Bone Joint Surgery, the First Hospital of Jilin University, Changchun 130021, Jilin, China |
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| 谷贵山 |
GU Gui-shan |
吉林大学第一医院骨关节外科, 吉林 长春 130021 |
Department of Bone Joint Surgery, the First Hospital of Jilin University, Changchun 130021, Jilin, China |
guguishan@sina.com |
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| 期刊信息：《中国骨伤》2015年，第28卷，第9期，第874-880页 |
| DOI：10.3969/j.issn.1003-0034.2015.09.021 |
| 基金项目: |
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| 中文摘要:全膝关节置换术已经成为目前治疗终末期膝关节骨性关节炎的有效手术方法之一.然而术后的疼痛问题却一直困扰着临床医生.术后疼痛的原因可分为医源性,假体源性和患者源性3大因素.围手术期疼痛的处理包括术前的宣教,超前镇痛,假体的选择与设计;术中的处理主要包括合适的手术入路,保持膝关节周围的软组织平衡,术中膝关节周围鸡尾酒镇痛;术后主要包括口服镇痛药物,股神经组织以及患者的自控镇痛.以及近年来兴起的围手术期多种镇痛方式联合应用的多模式镇痛.对于围手术期的疼痛进行充分的干预,可有效缓解膝关节置换术后患者的疼痛,使患者更好的进行功能锻炼,从而获得更好的手术效果. |
| 【关键词】关节成形术,置换,膝 围手术期医护 疼痛 综述文献 |
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| Causes of perioperative pain and the pain management in total knee arthroplasty |
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| ABSTRACT Total knee arthroplasty has become one of the effective operation methods on end-stage knee osteoarthritis. However, the postoperative pain has been plaguing the clinicians. The cause of postoperative pain can be divided into iatrogenic, prosthesis and patient. Pain treatment in perioperative period includes preoperative education, analgesia in advance, and the selection and design of reinforcement; during operation mainly includes the appropriate surgical approach, keep the balance of soft tissue around the knee joint, cocktail analgesia pain around the knee joint; after operation mainly includes oral analgesic drugs, femoral nerve tissue and patient controlled analgesia. And the multimodal analgesia which is the analgesic methods combined application in perioperative period raised in resent years fully intervene the pain in perioperative period, so that it can effectively reduce the pain of patients after knee replacement, promote the patients do functional exercise more better and get better operation result. |
| KEY WORDS Arthroplasty, replacement, knee Perioperative care Pain Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨晓笛,张聘聘,张宇,谷贵山.全膝关节置换术围手术期疼痛的原因及镇痛的研究进展[J].中国骨伤,2015,28(9):874~880 |
| 英文格式: | YANG Xiao-di,ZHANG Pin-pin,ZHANG Yu,GU Gui-shan.Causes of perioperative pain and the pain management in total knee arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(9):874~880 |
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