摘要
目的:观察全膝关节置换术(total knee arthroplasty,TKA)后关节腔内追加注射混合镇痛液能否延长术后镇痛时间。方法:采用回顾性配对研究方法,以30例仅在TKA术中接受关节周围浸润注射混合镇痛液患者为对照组、30例在术后第2天还接受了关节腔内追加注射混合镇痛液的患者为观察组。术后第2、3、4、5、7天,记录患者的静息和屈膝90°时的视觉模拟量表(Visual Analogue Scale,VAS)评分、1 min步行距离;记录术后7 d患者追加镇痛药物盐酸曲马多的使用情况;记录患者的不良反应。结果:观察组患者在术后静息VAS评分、追加镇痛药物使用方面与对照组患者无显著差异,但在术后屈膝90°VAS评分和1 min步行能力方面较对照组患者有显著改善。结论:关节腔内追加注射混合镇痛液能显著改善TKA术后患者膝关节屈伸运动时的疼痛程度和步行能力。
Objective:To evaluate whether intra-articular injection of additional cocktail analgesics attributes to prolonged pain control after total knee arthroplasty(TKA).Methods:Thirty cases of patients who received peri-articular infiltration injection of mixed analgesic solution only in TKA were taken as a control group and another 30 cases of patients who received peri-articular in filtration injection and additional postoperative intra-articular injection were taken as an observation group based on a retrospective matched study.Pains at rest and 90°bending knees were recorded by Visual Analogue Scale score and 1 minute walking ability on day 2,3,4,5 and 7 after surgery.The use of additional analgesic drug tramadol hydrochloride at 7 days after surgery and adverse reactions were observed.Results:There were no statistical differences between the two groups in the resting pain score and the use of additional analgesics.However,pain scores at 90°bending knees and the 1 minute walking ability were signi ficantly improved in the observation group compared with the control group.Conclusion:Additional intra-articular injection of mixed analgesic solution can significantly improve motor pain and ability of patients after TKA.
作者
钟诚凡
钟礼伦
邓铭聪
郭达
曹学伟
刘军
Zhong Chengfan;Zhong Lilun;DENG Mingcong;Guo Da;Cao Xuewei;Liu Jun(Department of Orthopedics,the People’s Hospital of Gaozhou City,Guangdong Maoming 525200,China;Department of Orthopedics,the Second Hospital affiliated to Guangzhou University of Chinese Medicine,Guangzhou 510120,China)
出处
《上海医药》
CAS
2020年第5期31-33,79,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
全膝关节置换术
术后镇痛
关节腔内注射
total knee arthroplasty
postoperative pain control
intra-articular injection
