[1]王 疆,殷积慧.收肌管阻滞与关节腔周围注射在膝关节置换术后的镇痛效果比较[J].医学信息,2019,(07):123-125.[doi:10.3969/j.issn.1006-1959.2019.07.037]
 WANG Jiang,YIN Ji-hui.Comparison of Analgesic Effect Between Myocardium Block And Periarticular Injection After Knee Joint Replacement[J].Medical Information,2019,(07):123-125.[doi:10.3969/j.issn.1006-1959.2019.07.037]
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收肌管阻滞与关节腔周围注射在膝关节置换术后的镇痛效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年07期
页码:
123-125
栏目:
临床研究
出版日期:
2019-04-01

文章信息/Info

Title:
Comparison of Analgesic Effect Between Myocardium Block And Periarticular Injection After Knee Joint Replacement
文章编号:
1006-1959(2019)07-0123-03
作者:
王 疆1殷积慧2
(1.山东临沂市中医医院麻醉二科,山东 临沂 267002;2.山东青岛大学医学院附属医院,山东 青岛 266003)
Author(s):
WANG Jiang1YIN Ji-hui2
(1.Subject Two,Department of Anesthesiology,Linyi Traditional Chinese Medicine Hospital,Linyi 267002,Shandong,China;2.Affiliated Hospital of Shandong University Medical College,Qingdao 266003,Shandong,China)
关键词:
收肌管阻滞关节腔周围注射膝关节置换术后镇痛
Keywords:
Muscle blockInjection around the joint cavityKnee replacementPostoperative analgesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2019.07.037
文献标志码:
A
摘要:
目的 对膝关节置换术(TKA)实行超声引导下收肌管阻滞(U-ACB),观察其镇痛效果。方法 选取我院2017年8月~2018年8月收治的80例拟行TKA的患者,随机将其分成对照组和观察组,各40例。对照组患者进行关节周围注射镇痛,观察组采用U-ACB镇痛。比较两组术后6、12、24、48 h股四头肌肌力分级情况、静息和运动时VAS评分情况及不良反应发生情况。结果 对照组术后6、12、24、48 h股四头肌肌力评分高于观察组,差异有统计学意义(P<0.05);静息时,对照组术后6、12、24、48 hVAS评分高于观察组,差异有统计学意义(P<0.05);运动时,两组术后6、12、24、48 hVAS评分比较,差异无统计学意义(P>0.05);对照组不良反应发生率高于观察组(15.00% vs 2.50%),差异有统计学意义(P<0.05)。结论 U-ACB有利于TKA术后镇痛效果的提高,安全性较高,值得应用。
Abstract:
Objective To observe the analgesic effect of knee-to-articular replacement (TKA) under ultrasound-guided musculoskeletal block (U-ACB). Methods 80 patients with TKA who were admitted to our hospital from August 2017 to August 2018 were randomly divided into control group and observation group, 40 cases each. Patients in the control group underwent analgesia around the joints, and the observation group used U-ACB analgesia. The muscle strength of the quadriceps muscles at 6, 12, 24, and 48 h after operation, the VAS scores at rest and exercise, and the incidence of adverse reactions were compared. Results In the control group, the quadriceps muscle strength scores at 6, 12, 24, and 48 h after operation were higher than those in the observation group (P<0.05). At rest, the control group was 6, 12, 24,48 hVAS after surgery score was higher than that of the observation group,the difference was statistically significant (P<0.05). There was no significant difference in the VAS scores between the two groups at 6, 12, 24, and 48 h after exercise (P>0.05). The incidence of adverse reactions was higher than that of the observation group (15.00% vs 2.50%),the difference was statistically significant (P<0.05). Conclusion U-ACB is beneficial to the analgesic effect of TKA, and it is safe and worthy of application.

参考文献/References:


[1]郑胜宇,李甦,张劲松,等.持续收肌管阻滞配合局部浸润对老年全膝关节置换术后镇痛及早期运动的影响[J].福建医药杂志,2018,40(3):48-50.
[2]王健,张建欣,李志英,等.超声引导下收肌管阻滞联合喉罩全麻对老年患者全膝关节置换术后谵妄的影响[J].实用医药杂志,2018,35(4):312-316.
[3]杨燕青,何海娟,王红珠.右美托咪定混合罗哌卡因收肌管阻滞联合全身麻醉用于膝关节镜手术的效果观察[J].中国内镜杂志,2018,24(2):68-74.
[4]李灿锋,曾羿,沈彬,等.收肌管阻滞与股神经阻滞在全膝关节置换术后镇痛疗效的Meta分析[J].中华关节外科杂志(电子版),2018,12(1):77-86.
[5]李灿锋,徐宏伟,沈彬,等.置管持续收肌管阻滞与单次注射收肌管阻滞对人工全膝关节置换术后镇痛及早期康复的影响研究[J].中国修复重建外科杂志,2017,31(9):1049-1054.
[6]孔宪刚,李海鸥,宋成军,等.超声引导下收肌管阻滞在全膝关节置换术后多模式联合镇痛中的作用[J].山东医药,2017,57(21):58-61.
[7]左银龙.全膝关节置换术中关节腔周围注射糖皮质激素镇痛及对早期膝关节功能的影响[D].四川医科大学,2015.
[8]赵俊旭.全膝关节置换术(TKA)术后2种镇痛方法疗效比较[D].新疆医科大学,2016,32(11):225-225.
[9]张印,史永安,余攀,等.全膝关节置换术后三种镇痛方案的对比[J].中国矫形外科杂志,2017,25(19):1763-1766.
[10]左银龙,刘俊才,吴绍军,等.全膝关节置换关节腔周围注射镇痛的研究进展[J].西南军医,2015,23(4):415-418.

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更新日期/Last Update: 2019-04-01