关节局部镇痛在全膝关节置换多模式镇痛中的疗效分析
王维康;谷晨熙;王义生
【期刊名称】《中国实用医刊》 【年(卷),期】2016(043)007
【摘要】Objective To investigate the clinical effect of joint local analgesic in multimodal analgesic on total knee arthroplasty(TKA)and observe the influence of the analgesic methods to early postoperative knee function recovery. Methods Sixty-five TKA patients were randomly divided into group A(34 cases)and group B(31 cases). The patients in group A were given joint local analgesic in analgesic combination for TKA,and the patients in group B were not given joint local analgesic,other analgesic methods were the same. Pain was assessed using a visual analogue scale(VAS). Joint function was recorded by HSS. Results VAS in group A was(5. 294 ± 0. 799),(4. 265 ± 0. 828),(4. 265 ± 0. 828),(1. 882 ±1. 094)at 2 h to 5 d after surgery,VAS in group B was(6. 807 ±0. 910),(5. 452 ±0. 888),(4. 000 ± 0. 775),(2. 226 ± 0. 884),at 12 h,24 h,3 d,the conclusion improved significantly in group A compared with group B (P < 0. 05). HSS of group A(73. 382 ± 3. 445)increased more than group B(68. 516 ± 3. 075)after TKA(P < 0. 05). Conclusions The clnical effect of joint local analgesic in multimodal analgesic on TKA is good,which is helpful for the recovery of knee function.%目的:探讨关节局部镇痛在全膝关节置换(TKA)多模式镇痛中的作用以及对膝关节功能恢