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连续股神经阻滞在全膝关节置换术后中的应用

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摘要 目的观察连续股神经阻滞用于全膝关节置换术后康复镇痛的临床效果。方法选择美国麻醉医师协会分级Ⅰ~Ⅱ级、行单侧全膝关节置换术的患者42例,随机分为2组,股神经阻滞组(治疗组)21例和对照组21例。所有患者均实施气管插管全身麻醉。治疗组患者术后通过留置导管间断注射0.33%罗哌卡因30 ml,对照组患者术后口服镇痛药。术后记录静息、主动和持续被动功能训练时患者的VAS疼痛评分和术后膝关节活动情况。结果治疗组患者术后镇痛效果明显,膝关节活动恢复较好,患者镇痛满意度高。结论连续股神经阻滞用于全膝关节置换术后的镇痛效果良好,对下肢肌力影响轻微,并发症发生率低,是全膝关节置换术后较为理想的康复镇痛方法。
出处 《当代护士(中旬刊)》 2012年第5期22-23,共2页 Modern Nurse
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