期刊文献+

连续股神经阻滞对全膝关节置换术后早期康复的效果评价 被引量:2

原文传递
导出
摘要 目的评价连续股神经阻滞(CFNB)在全膝关节置换术(TKA)后镇痛及早期康复锻炼中的作用。方法根据住院号单双号将进行单侧全膝关节置换术的52例患者分为两组:CFNB组26例术后连续股神经阻滞镇痛,患者静脉自控镇痛(PCIA)组26例术后静脉自控镇痛。比较两组术后不同时间点VAS疼痛评分、膝关节主动运动情况。结果CFNB组患者术后6、12、24、48、72h的VAS评分明显低于PCIA组(P〈0.01),术后2、7d主动运动功能比较差异有统计学意义(P〈0.01)。结论连续股神经阻滞镇痛效果良好,是TKA术后较为理想的镇痛方法,有利于提高患者的舒适度,减少并发症的发生,以最大限度的恢复假体关节的功能。
出处 《中国医师杂志》 CAS 2013年第5期662-664,共3页 Journal of Chinese Physician
  • 相关文献

参考文献4

二级参考文献47

  • 1田竞,祖启明,项良碧,刘宪民,曹艳,周大鹏.全膝关节置换术后采用时间治疗法服用塞来昔布的镇痛效果[J].中国临床康复,2006,10(48):39-41. 被引量:5
  • 2顾美珍.健康教育路径在全膝关节置换术患者中的应用[J].实用临床医药杂志(护理版),2007,3(2):92-93. 被引量:1
  • 3PROSPECT:Procedure-specific postoperative pain management[DB/OL].http://www.postoppain.org/frameset.htm.
  • 4Singelyn FJ,Deyaert M,Joris D,et al.Effects of intravenous patient-controlled analgesia with morphine,continuous epidural analgesia,and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty[J].Anesth Analg,1998,87(1):88-92.
  • 5Capdevila X,Barthelet Y,Biboulet P,et al.Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery[J].Anesthesiology,1999,91(1):8-15.
  • 6Ilfeld BM,Morey TE,Wang RD,et al.Continuous popliteal sciatic nerve block for postoperative pain control at home:a randomized,double-blinded,placebo-controlled study[J].Anesthesiology,2002,97(4):959-965.
  • 7Ilfeld BM,Le LT,Meyer RS,et al.Ambulatory continuous femoral nerve blocks decrease time to discharge readiness after tricompartment total knee arthroplasty:a randomized,triple-masked,placebo-controlled study[J].Anesthesiology,2008,108(4):703-713.
  • 8Buyukkocak U,Daphan C,Caglayan O,et al.Effects of different anesthetic techniques on serum leptin,C-reactive protein,and cortisol concentrations in anorectal surgery[J].Croat Med J,2006,47(6):862-868.
  • 9Bagry H,de la Cuadra Fontaine JC,Asenjo JF,et al.Effect of a continuous peripheral nerve block on the inflammatory response in knee arthroplasty[J].Reg Anesth Pain Med,2008,33(1):17-23.
  • 10Dennis RK, Lawrence K. Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery. A case study of 325 pa tients [J]. Acta Orthopaedica, 2008, 2: 174-183.

共引文献56

同被引文献19

引证文献2

二级引证文献28

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部