期刊文献+

全膝关节置换术围手术期复合镇痛疗效观察 被引量:7

The Perioperative Multimodal Pain Relieve in Total Knee Arthroplasty
下载PDF
导出
摘要 目的评价全膝置换围手术期复合镇痛效果,探讨最佳镇痛方案。方法将2006年1月至2008年1月我院收治的90例单侧全膝关节置换(totalknee arthroplasty,TKA)手术患者随机分成两组,采用不同镇痛方案进行围手术期镇痛治疗,对术后疼痛情况进行积分分析并观察并发症。结果积极持续的镇痛方法具有明显的镇痛效果,患者满意率及功能康复效果取得明显改善。结论TKA术围手术期采用积极、持续、综合的镇痛措施具有重要意义。 Objective To evaluate the benefits and safety of a multimodal analgesia protocol that included perioperative injection of morphine and oral analgesic in patients undergoing total knee arthroplasty. Methods Ninety cases of total knee arthroplasty were randomly divided into two groups,then were treated to relieve pain perioperatively. Postoperative pain score and complications were analyzed. Results The positive relieve method take obvious effect, patient satisfaction and function were improved greatly ,complication rate were low. Conclusion Aggressive ,comprehensive pain relieve method is benefical to total knee arthroplasty.
出处 《实用骨科杂志》 2009年第2期86-88,共3页 Journal of Practical Orthopaedics
关键词 全膝置换 疼痛 复合镇痛 total knee arthroplasty pain relieve perioperative
  • 相关文献

参考文献7

  • 1祝云利,吴海山,吴宇黎,李晓华,钱齐荣.全膝关节置换术围手术期镇痛[J].国际骨科学杂志,2008,29(1):67-68. 被引量:20
  • 2符培亮,吴宇黎,吴海山,李晓华,钱齐荣,祝云利,谢庆云,孙久一.全膝置换术后关节内注射鸡尾酒式镇痛混合剂对镇痛效果的评价[J].中华骨科杂志,2008,28(7):541-545. 被引量:66
  • 3Dorr LD,Raya J ,Long WT,et al. Multimodal analgesia without parenteral narcotics for total knee arthroplasty[J]. J Arthroplasty, 2008,23(4) : 502-508.
  • 4Ranawat AS,Ranawat CS. Pain management and accelerated rehabilitation for total hip and total knee arthroplasty[J]. J Arthroplasty, 2007,22 (Suppl 3): 12-15.
  • 5Kiefer W,Dannhardt G. Novel insights and therapeutical applications in the field of inhibitors of COX-2 [J].Curr Med Chem,2004,11(4):3147-3161.
  • 6Sinatra R. Role of COX-2 inhibitors in the evolution of acute pain management [J]. J Pain Symptom Manage, 2002,24(Suppl 1 ) : 18-27.
  • 7Clemett D,Goa KL. Colecoxib:a review of its use in osteoarthritis, rheumatoid arthritis and acute pain[J]. Drugs, 2000,59 (4) : 957-980.

二级参考文献24

  • 1Bonica JJ. Postoperative pain. In: Bonica JJ, ed. The management of pain. 2nd ed. Philadelphia: Lea and Febiger, 1990. 461-480.
  • 2Vendittoli PA, Makinen P, Drolet P, et al. A muhimodal analgesia protocol for total knee arthroplasty: a randomized, controlled study. J Bone Joint Surg(Am), 2006, 88: 282-289.
  • 3Busch CA, Shore BJ, Bhandari R, et al. Efficacy of periarticular muhimodal drug injection in total knee arthroplasty: a randomized trial. J Bone Joint Surg(Am), 2006, 88: 959-963.
  • 4Tanaka N, Sakahashi H, Sato E, et al. The efficacy of intra-articular analgesia after total knee arthroplasty in patients with rheumatoid arthritis and in patients with osteoarthritis. J Arthroplasty, 2001, 16: 306-311.
  • 5Heard SO, Edwards WT, Ferrari D, et al. Analgesic effect of intraarticular bupivaeaine or morphine after arthroseopie knee surgery: a randomized, prospective, double-blind study. Anesth Analg, 1992, 74: 822-826.
  • 6Woolf CJ, Chong MS. Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg, 1993, 77: 362-379.
  • 7Stein C, Comisel K, Haimerl E, et al. Analgesic effect of intraarticular morphine after arthroscopic knee surgery. N Engl J Med, 1991, 325:1123-1126.
  • 8Joris JL, Dubner R, Hargreaves KM. Opioid analgesia at peripheral sites: a target for opioids released during stress and inflammation? Anesth Analg, 1987, 66: 1277-1281.
  • 9Lundin O, Rydgren B, Sward L, et al. Analgesic effects of intra-articular morphine during and after knee arthroscopy: a comparison of two methods. Arthroscopy, 1998, 14: 192-196.
  • 10Stein C, Millan MJ, Shippenberg TS, et al. Peripheral opioid receptors mediating antinociception in inflammation: evidence for involvement of mu, delta and kappa receptors. J Pharmacol Exp Ther, 1989 248: 1269-1275.

共引文献82

同被引文献40

引证文献7

二级引证文献48

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部