| 冯常武 卢杰 丁一 张晓云 张峰.连续股神经阻滞对全膝关节置换术的镇痛及恢复效果[J].,2015,15(25):4905-4907 |
| 连续股神经阻滞对全膝关节置换术的镇痛及恢复效果 |
| Effect of Continuous Femoral Nerve Block and Periarticular Injectionof Analgesic on the Early Functional Rehabilitation of the Kneeafter Total Knee Arthroplasty |
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| DOI： |
| 中文关键词: 全膝关节置换术 连续股神经阻滞 关节周围注射 镇痛 膝关节功能 |
| 英文关键词: Total knee arthroplasty Continuous femoral nerve block Injection around the joints Analgesia Knee function |
| 基金项目:国家自然科学基金项目(30872615) |
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| 中文摘要: |
| 目的：比较探究全膝关节置换术应用连续股神经阻滞与关节周围注射镇痛对全膝关节置换术镇痛疗效及对早期膝关节功能
康复的影响。方法：选取我院行单侧膝全膝关节置换术的患者90 例，随机分为连续股神经阻滞（CFNB）组和关节周围注射镇痛
（LIA）组。CFNB 组予以股神经周围泵入罗哌卡因镇痛，LIA 组予以关节腔注射罗哌卡因+吗啡镇痛。分别于手术前后记录两组患
者的疼痛评分（VAS）、股四头肌肌力评分，并评价患者的膝关节功能。结果：术后6 h、12 h，两组患者静息与活动状态下，VAS评分
无明显差异；术后24 h、48 h，CFNB组患者在静息与活动状态下VAS 评分均明显低于LIA 组患者（P＞ 0.05)；第2 d-5 d，两组患
者膝关节活动度比较，CFNB组明显优于LIA 组（P＜0.05)，第6 d、7 d，两组膝关节活动度无明显差异（P＞0.05）；与LIA 组比较，
CFNB组患者完成主动直腿抬高实验时间明显较短（P＜0.05)。两组患者股四头肌肌力评分比较无明显差异（P＞0.05)。结论：连
续股神经阻滞对全膝关节置换术的镇痛效果更明显，有助于早期膝关节功能恢复，且不影响股四头肌肌力。 |
| 英文摘要: |
| Objective:To explore the effect of continuous femoral nerve block and periarticular injection of analgesic on the
functional rehabilitation of total knee arthroplasty.Methods:90 cases of patients in our hospital underwent unilateral knee replacement
surgery were divided into continuous femoral nerve block (CFNB) group and periarticular injection (LIA) group randomly. Group CFNB
was treated with femoral nerve analgesia with ropivacaine infusion. Group LIA was treated with intra-articular injection of sodium
chloride injection + ropivacaine and morphine analgesia. Record the pain score (VAS), biceps muscle strength score, evaluate the knee
joint function before and after operation.Results:In the resting and active state, VAS score had no significant difference 6h and 12h after
operation. VAS score in CFNB groups were significantly lower than LIA group (P＜0.05) 24 h and 48 h after operation. To the knee
joint activity, CFNB group is obviously higher than that of LIA group from 2 d-5 d after operation, (P<0.05), but no significance
differences was detectd from 6 d -7 d after operation. Compared with LIA group, the straight leg raising test time form group CFNB
completed was shorter (P<0.05).Conclusion:Continuous femoral nerve block analgesia is helpful to the analgesia and early recovery of
patients with knee joint function, which would not affect the unit four biceps muscle. |
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