实用医学杂志2025，Vol.41Issue(11)：1663-1668,6.DOI:10.3969/j.issn.1006-5725.2025.11.008
收肌管阻滞联合腘丛神经阻滞在关节镜下韧带重建术中的应用
Application of adductor canal block combined with popliteal plexus block in arthroscopic ligament recon-struction
摘要
Abstract
Objective To investigate the impact of adductor canal block(ACB)in combination with popliteal plexus block(PPB)on patients undergoing arthroscopic anterior cruciate ligament reconstruction(ACLR).Methods Patients who underwent primary unilateral ACLR treatment at our hospital between March 2022 and November 2023 were recruited as the research subjects.They were randomly allocated into the ACB group(n=43 cases)and the combined PPB group(n=47 cases)using a coin-toss method.Patients in the ACB group received ACB,while those in the combined PPB group received ACB in conjunction with PPB.The pain intensity,analgesic effect,adverse reactions,and postoperative status following ACLR were compared between the two groups.Results The Visual Analogue Scale(VAS)scores of the combined PPB group were significantly lower than those of the ACB group at 4 hours,8 hours,12 hours,24 hours,and 48 hours post ACLR(P<0.05).Repeated measures analysis of variance of VAS scores in the resting and active exercise states of ACLR patients in the two groups revealed that the group effect had F-values of 162.052/142.173 and P-values of 0.000/0.000,the time effect had F-values of 74.223/65.515 and P-values of 0.000/0.000,and the interaction effect had an f-value of 4.707/.The cumulative dose of sufentanil,the frequency of postoperative analgesia,and the proportion of posterior knee pain in the combined PPB group were all lower than those in the ACB group(P<0.05).There was no significant difference in adverse reactions between the ACB group and the combined PPB group(P>0.05).The hospitalization duration and the time to achieve active straight leg raise in the combined PPB group were shorter than those in the ACB group,while the analgesic satisfac-tion score was higher than that in the ACB group(P<0.05).Conclusion The combination of ACB and PPB in ACLR can effectively alleviate postoperative pain,reduce the requirements for sufentanil and analgesic interven-tions,enhance patient satisfaction,shorten the hospitalization period and the time to achieve active straight leg raise,and promote early patient recovery without increasing the risk of adverse reactions.关键词
收肌管阻滞/腘丛神经阻滞/前交叉韧带重建/镇痛/术后疼痛Key words
adductor canal block/popliteal plexus block/reconstruction of anterior cruciate liga-ment/analgesia/postoperative pain分类
临床医学引用本文复制引用
卜广开,陶涛..收肌管阻滞联合腘丛神经阻滞在关节镜下韧带重建术中的应用[J].实用医学杂志,2025,41(11):1663-1668,6.基金项目
浙江省中医药管理局基金资助项目(编号:2022ZA073) （编号:2022ZA073）
