| 连续收肌管阻滞镇痛在双膝关节一期置换术后疼痛控制研究 |
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投稿时间：2020-02-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 王善正 |
WANG Shan-zheng |
东南大学附属中大医院骨科, 江苏 南京 210009 |
Department of Anesthesiology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu, China |
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| 王宸 |
WANG Chen |
东南大学附属中大医院骨科, 江苏 南京 210009 |
Department of Anesthesiology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu, China |
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| 郭玉冬 |
GUO Yu-dong |
东南大学附属中大医院骨科, 江苏 南京 210009 |
Department of Anesthesiology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu, China |
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| 姚娟 |
YAO Juan |
东南大学附属中大医院麻醉科, 江苏 南京 210009 |
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| 邱丽丽 |
QIU Li-li |
东南大学附属中大医院麻醉科, 江苏 南京 210009 |
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| 黄露欣 |
HUANG Lu-xin |
东南大学附属中大医院麻醉科, 江苏 南京 210009 |
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| 谢珏 |
XIE Jue |
东南大学附属中大医院麻醉科, 江苏 南京 210009 |
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very_wang@126.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第12期，第1156-1160页 |
| DOI：10.12200/j.issn.1003-0034.2020.12.013 |
| 基金项目: |
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中文摘要:目的：探讨连续收肌管阻滞在双膝关节一期置换术后疼痛控制效果。
方法：回顾性分析2018年1月至2019年1月收治的24例行双膝关节一期置换术，且术后行连续收肌管阻滞镇痛患者资料。男6例，女18例；年龄60~72（65.05±5.82）岁。患者术后双膝均行连续收肌管阻滞，配合自控镇痛系统。术后4、6、12、24、36、48 h行静息状态及被动运动状态视觉模拟评分（visual analogue scale，VAS）；随访患者术后1周及1、3、6个月膝关节活动度；对患者术后6个月膝关节功能进行评分，采用美国特种外科医院（Hospital for Special Surgery，HSS）膝关节评分标准；记录不良反应及并发症。
结果：行连续收肌管阻滞患者术后各时点静息状态、被动运动状态VAS均分<3分。患者术后膝关节活动度较好，术后6个月HSS评分优20例，良2例，可1例，差1例。术后仅4例出现恶心呕吐，无一例发生心动过缓、深静脉血栓等严重不良反应及并发症。
结论：连续收肌管阻滞在双膝关节一期置换术后疼痛控制方面效果显著，且不良反应较少。 |
| 【关键词】关节成形术,置换,膝 疼痛 手术后并发症 |
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| Study on pain control of continuous adductor block analgesia after primary knee replacement |
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ABSTRACT Objective: To investigate the effect of continuous adductor block on pain control after bilateral knee joint Ⅰ-stage replacement.
Methods: A retrospective analysis was made of the data of 24 patients with bilateral knee joint I-stage replacement who were treated in our hospital from January 2018 to January 2019,and who underwent continuous adductor block analgesia. There were 6 males and 18 females,aged 60 to 72 (65.05±5.82) years old. The patients underwent continuous block of adductor canal with patient-controlled analgesia system. At 4,6,12,24,36 and 48 hours after operation,visual analogue score(VAS) of resting state and passive motion state was performed;the knee joint activity was followed up for 1 week,1,3 and 6 months after operation;the knee joint function was scored at 6 months after operation,using the knee joint scoring standard of American Special Surgery Hospital(HSS);adverse reactions and complications were recorded.
Results: The VAS scores under resting state and passive motion state at each time point were less than 3 points in patients with continuous adductor block. The patients had better postoperative exercise of knee joint activity. The score of HSS was excellent in 20 cases,good in 2 cases,fair in 1 case and poor in 1 case. There were only 4 cases of nausea and vomiting,none of them had serious adverse reactions and complications such as bradycardia and deep vein thrombosis.
Conclusion: Continuous adductor block has a significant effect on pain control and less adverse reactions after bilateral knee jointⅠ-stage replacement. |
| KEY WORDS Arthroplasty,replacement,knee Pain Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王善正,王宸,郭玉冬,姚娟,邱丽丽,黄露欣,谢珏.连续收肌管阻滞镇痛在双膝关节一期置换术后疼痛控制研究[J].中国骨伤,2020,33(12):1156~1160 |
| 英文格式: | WANG Shan-zheng,WANG Chen,GUO Yu-dong,YAO Juan,QIU Li-li,HUANG Lu-xin,XIE Jue.Study on pain control of continuous adductor block analgesia after primary knee replacement[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(12):1156~1160 |
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