中国组织工程研究2017，Vol.21Issue(19)：2966-2972,7.DOI:10.3969/j.issn.2095-4344.2017.19.003
股神经联合坐骨神经阻滞在全膝关节置换多模式镇痛中的应用
Analgesic effect of femoral and sciatic nerve block under multimodal analgesia in total knee arthroplasty
高维陆 1李鸿 1刘必全 1胡勇 1刘敬军 1尹力 1刘虎 2梅斌 2尹宗生1
作者信息
- 1. 安徽医科大学第一附属医院,关节与骨肿瘤外科,安徽省合肥市 230022
- 2. 安徽医科大学第一附属医院, 麻醉科,安徽省合肥市 230022
- 折叠
摘要
Abstract
BACKGROUND: The effectiveness of femoral nerve block in perioperative analgesia for total knee arthroplasty has been widely recognized, but the need for combined sciatic nerve block remains controversial.OBJECTIVE: To investigate the analgesic effect and rehabilitation training of femoral and sciatic nerve block in the perioperative period of total knee arthroplasty. METHODS: 150 patients undergoing total knee arthroplasty were randomly divided into three groups: general anesthesia, femoral nerve block and femoral and sciatic nerve block groups. The visual analogue scale scores at rest and in activity, range of motion of the knee, postoperative hospitalization time, adverse effects and the Hospital for Special Surgery scores were recorded and compared among groups.RESULTS AND CONCLUSION: (1) The order of visual analogue scale scores at rest and in activity at each time point postoperatively was as follows: general anesthesia group > femoral nerve block group > femoral and sciatic nerve block group (P < 0.05). (2) The range of motion of the knee at different time points postoperatively was largest in the femoral nerve block group, followed by the femoral nerve block group, and smallest in the general anesthesia group (P < 0.05). (3) The postoperative hospitalization time in the femoral nerve block and femoral and sciatic nerve block groups was significantly less than that in the general anesthesia group, and the time in the femoral and sciatic nerve block group was significantly less than that in the femoral nerve block group (P < 0.05). (4) The Hospital for Special Surgery scores at 1 month postoperatively in the femoral nerve block and femoral and sciatic nerve block groups were significantly higher than those in the general anesthesia group, and the scores in the femoral and sciatic nerve block group were significantly higher than those in the femoral nerve block group (P < 0.05). But the Hospital for Special Surgery knee scores at 3 and 6 months postoperatively did not differ significantly among groups (P > 0.05). (5) These results indicate that the femoral and sciatic nerve block has better postoperative analgesia effect compared with general anesthesia and femoral nerve block under multimodal analgesia in total knee arthroplasty, which is favorable for early rehabilitative training.关键词
骨科植入物/人工假体/全膝关节置换/股神经阻滞/坐骨神经阻滞/多模式镇痛/视觉模拟评分/关节活动度分类
医药卫生引用本文复制引用
高维陆,李鸿,刘必全,胡勇,刘敬军,尹力,刘虎,梅斌,尹宗生..股神经联合坐骨神经阻滞在全膝关节置换多模式镇痛中的应用[J].中国组织工程研究,2017,21(19):2966-2972,7.
