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时间:2020-06-06
《股神经阻滞联合关节腔内注射用于膝关节置换术后镇痛的疗效观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、实用疼痛学杂志2013年1O月第9卷第5期PainClinJ,October2013,Vo1.9,No.5367.经验交流.股神经阻滞联合关节腔内注射用于膝关节置换术后镇痛的疗效观察李志斌祖静涛韩奕【摘要】目的观察术前股神经阻滞联合手术结束前关节腔内注射罗哌卡因用于膝关节置换术后镇痛的效果。方法气管插管全身麻醉下行膝关节置换术患者60例,随机分为静脉镇痛组(V组)、股神经阻滞组(F组)及股神经阻滞与关节腔内注射联合组(FN组),每组2O例。术后观察镇痛效果与不良反应。结果术后8h和12h时FN组VAS评分最低,F组低于V组(P<0.05);24h时FN组最低,F组和V组差异无
2、统计学意义;48h时3组差异无统计学意义(P>0.05)。V组发生恶心、呕吐6例。结论股神经阻滞联合关节腔内注射用于膝关节置换术后镇痛,术后早期镇痛效果优于单纯静脉镇痛和单纯股神经阻滞,且未见明显并发症。【关键词】股神经;神经传导阻滞;注射,关节内;镇痛;关节成形术,置换,膝Postoperativeanalgesiaefficacyoffemoralnerveblockcombinedwithintra—。articularinjectionofropiv‘_acaineinpatientswithkneejointreplacementLIZhi-bin,ZUJing--
3、tao,HANYi.DepartmentofAnorectalSurgery,ChineseMedicineHos—pitalofHandan,HebeiProvince056001,ChinaCorrespondingauthor:HANYi,Email:hanyisjz@sina.com[Abstract]0bjectiveToobservethepostoperativeanalgesiaefficacyoffemoralnerveblockcombinedwithintra—articularinjectionofropivacaineinpatientswithkn
4、eejointreplacement.Meth—odsSixtypatientsscheduledforunilateralkneejointreplacementwererandomlydividedinto3groups(,z一20):groupV(postoperativecontrolledintravenousanalgesia),groupF(femoralnerveblock),andgroupFN(intra—articularinjectionofropivacainecombinedwithfemoralnerveblock).VASandsideeffe
5、ctswererecorded.ResultsAt8h,12haftertheoperation,VASwasthelowestingroupFN,andVASingroupFwaslowerthanthatingroupV(PO.05).At48haftertheoperationtherewerenosignificantlydiff
6、erencesamong3groups.ThereweresixpatientswithnauseaandvomitingroupV.ConclusionComparedwithintravenousanalgesiaorfemoralnerveblock,femoralnerveblockcombinedwithintra—articularropivacaineinjectionhasexcellentanalgesiaefficacyatthe12hpostoperativelyinpatientswithkneejointreplacementwithoutobvio
7、ussideeffects.[Keywords]Femoralnerve;Nerveblock;Injections,intra-articular;Analgesia;Ar—throplasty,replacement,kneeD0I:10.3969/j.issn.1672—9633.2013.05.012作者单位:056001河北省邯郸市中医院舡肠外科(李志斌);073000定州市第二医院麻醉科(祖静涛);050051河北医科大学第三医院医务处(韩奕)通信作者:韩奕,Email:hanyisjz@s
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