单次股神经阻滞联合关节腔周围注射在膝关节置换术后镇痛的研究

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Abstract Objective To evaluate the analgesic effect of single-shot femoral nerve block combined with periarticular injection after total knee arthroplasty.Methods 50 patients with total knee arthroplasty were selected from January 2017 to May 2018 in our hospital.There were 22 males and 28 females.The patients were 60 to 80 years old and the average age was(69.90±9.46).All of them were divided into the experimental group of combined periarticular injection of analgesia and single-shot femoral nerve block，or the control group of single-shot femoral nerve block alone group randomly.There were 25 cases in each group.The VAS score at rest and in activity，ROM，the rate of adverse reactions after operation was compared between the two groups.Results The experimental group had significantly lower VAS score than the control group at 6，12，24，48h both at rest and in activity (P＜0.05).The ROM in the experimental group were also significantly better than the control group at 1 and 2 days after the operation，while there was on difference in the ROM at 3 and 7 days after the operation between the two groups (P＞0.05)，and there was no significant difference in postoperative complications between the two groups(P＞0.05).Conclusion Combination of periarticular injection of analgesia and single-shot femoral nerve block is more effective than femoral nerve block alone in relieving early postoperative pain，which indeed helpful to early functional exercise.And there was no increase in postoperative complications.However，no significant advantage for long-term functional recovery has been found.

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［1］Maheshwari AV，Blum YC，Shekhar L，et al.Multimodal pain management after total hip and knee arthroplasty at the Ranawat Orthopaedic Center［J］.Clin Orthop Relat Res，2009(467)：1418-1423.
［2］Ranawat AS，Ranawat CS.Pain management and accelerated rehabilitation for total hip and total knee arthroplasty［J］.J Arthroplasty，2007，22(7 Suppl 3)：12-15.
［3］Osawa A，Yoshida K，Kanazawa H，et al.Efficacy of periarticular multimodal drug injection in total knee arthroplasty for pain management and rehabilitation［J］.Osteoarthr Cartil，2014，22(Suppl)：S415-S416.
［4］张小青，徐懋.膝关节置换术后多模式镇痛的进展［J］.中国微创外科杂志，2019，19(6)：552-555.
［5］孔维维，刘帆，安磊磊，等.多模式镇痛对全膝关节置换术后疼痛的效果及影响因素［J］.中华关节外科杂志(电子版)，2019，13(2)：255-260.
［6］王健.人工膝关节置换围手术期规范化疼痛管理［D］.广州：南方医科大学，2014：1-53.
［7］Hannon CP，Keating TC，Lange JK，et al.Anesthesia and analgesia practices in total joint arthroplasty：A survey of the american association of hip and knee surgeons membership［J］.J Arthroplasty，2019，34(12)：2872-2877.
［8］Li C，Qu J，Pan S，et al.Local infiltration anesthesia versus epidural analgesia for postoperative pain control in total knee arthroplasty：A systematic review and meta-analysis［J］.J OrthopSurg Res，2018，13(1)：112.
［9］周斌，冯玉旭，陈福扬，等.“鸡尾酒”疗法治疗全膝关节置换术后疼痛23例分析［J］.实用骨科杂志，2015，21(9)：834-836.
［10］Ikeuchi M，Kamimoto Y，Izumi M，et al.Effects of dexamethasone on local infiltration analgesia in total knee arthroplasty：A randomized controlled trial［J］.Knee Surg Sports Traumatol Arthrosc，2014，22(7)：1638-1643.
［11］牟晓杰，张鹏，陈丽.超声引导股神经阻滞联合关节腔周围注射鸡尾酒对全膝关节置换术后镇痛效果的影响［J］.中国药物与临床，2017，17(11)：1635-1637.
［12］Aso K，Izumi M，Sugimura N，et al.Additional benefit of local infiltration of analgesia to femoral nerve block in total knee arthroplasty：Double-blind randomized control study［J］.Knee Surg Sports Traumatol Arthrosc，2019，27(7)：2368-2374.

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