| 全髋关节置换术中局部注射混合镇痛液疗效的临床对照试验 |
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Received:July 28, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 翁文杰 |
WENG Wen-jie |
南京大学医学院附属鼓楼医院骨科，江苏 南京 210008 |
Department of Orthopaedics,Nanjing Drum Tower Hospital,Affiliated to Medical School of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 王锋 |
WANG Feng |
南京大学医学院附属鼓楼医院骨科，江苏 南京 210008 |
Department of Orthopaedics,Nanjing Drum Tower Hospital,Affiliated to Medical School of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 陈东阳 |
CHEN Dong-yang |
南京大学医学院附属鼓楼医院骨科，江苏 南京 210008 |
Department of Orthopaedics,Nanjing Drum Tower Hospital,Affiliated to Medical School of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 袁涛 |
YUAN Tao |
南京大学医学院附属鼓楼医院骨科，江苏 南京 210008 |
Department of Orthopaedics,Nanjing Drum Tower Hospital,Affiliated to Medical School of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 徐志宏 |
XU Zhi-hong |
南京大学医学院附属鼓楼医院骨科，江苏 南京 210008 |
Department of Orthopaedics,Nanjing Drum Tower Hospital,Affiliated to Medical School of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 蒋青 |
JIANG Qing |
南京大学医学院附属鼓楼医院骨科，江苏 南京 210008 |
Department of Orthopaedics,Nanjing Drum Tower Hospital,Affiliated to Medical School of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 期刊信息：《中国骨伤》2008年21卷，第11期，第834-836页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：研究全髋关节置换术中向关节周围局部注射混合镇痛液的疗效。
方法：将76例行全髋关节置换术的患者分成2组，38例患者术中关节周围注射混合镇痛液，另38例不注射。术后采用直观模拟疼痛量表(VAS)评估患者疼痛程度；所有患者术后24 h内使用患者自控镇痛泵(PCA),于不同时间点分别记录PCA的用量。
结果：在麻醉后恢复室及术后4 h,患者VAS疼痛评分注射组比对照组明显低。患者PCA使用量，与对照组6 h及12 h相比，注射组使用量明显少；术后24 h内PCA使用总量注射组也比对照组明显少。注射组患者未观察到任何与混合镇痛液相关的不良反应。
结论：全髋关节置换术中向关节周围注射混合镇痛液能够显着降低患者术后疼痛并减少镇痛泵的用量。 |
| [关键词]:关节成形术,置换,髋 镇痛 临床对照试验 |
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| Observation of the efficacy of local multimodal analgesic drugs injection in total hip arthroplasty |
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Abstract:
Objective: To study the efficacy of periarticular multimodal analgesic drugs injection in total hip arthroplasty.
Methods: Seventy-six patients undergoing total hip arthroplasty were randomly divided into two groups,38 patients received periarticular intraoperative injection of multimodal analgesic drugs,and others not do. Pain of patients were evaluated with a visual analog scale postoperatively,and all patients received patient-controlled analgesia for 24 hours after surgery. The consumption of patient-controlled analgesia was recorded at different time-points.
Results: Compared to the control group,visual analog scores for pain of the patients of injected group had significantly lower in the post-anesthetic-care unit and four hours after surgery. Patients of the injected group used significantly less patient-controlled analgesia at 6,12 hours,and over the first 24 hours after surgery than the control group. No adverse effects resulted from the multimodal analgesic drugs were noted in the injected group.
Conclusion: Periarticular injection of multimodal analgesic drugs in total hip arthroplasty can significantly reduce the postoperative pain of patients and the consumption of patient-controlled analgesia. |
| KEYWORDS:Arthroplasty,replacement,hip Analgesia Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 翁文杰,王锋,陈东阳,袁涛,徐志宏,蒋青.全髋关节置换术中局部注射混合镇痛液疗效的临床对照试验[J].中国骨伤,2008,21(11):834~836 |
| 英文格式: | WENG Wen-jie,WANG Feng,CHEN Dong-yang,YUAN Tao,XU Zhi-hong,JIANG Qing.Observation of the efficacy of local multimodal analgesic drugs injection in total hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(11):834~836 |
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