摘要
全膝关节置换术(total knee arthroplasty,TKA)适用于膝关节炎和退行性病变患者,能够恢复患者的关节运动功能并提高其生活质量,TKA为患者带来的远期好处是不言而喻的;但TKA也会引起术后早期剧烈疼痛,为此完善术后镇痛至关重要。TKA常用的术后镇痛方法包括患者自控静脉镇痛、患者自控硬膜外镇痛以及连续外周神经阻滞镇痛技术,如连续股神经阻滞。本文主要综述连续股神经阻滞的临床应用。
出处
《协和医学杂志》
2013年第2期201-203,共3页
Medical Journal of Peking Union Medical College Hospital
参考文献21
-
1Rasanen P, Paavolainen P, Sintonen H, et al. Effectiveness of hip or knee replacement surgery in terms of quality adjusted life years and costs [ J ]. Acta Orthopaedic, 2007, 78: 108-115.
-
2PROSPECT: Procedure-specific postoperative pain management [ EB/OL]. (2009-02) http ://www. postoppain, ors.
-
3Richman JM, Liu SS, Courpas G, et al. Does continuous pe- ripheral nerve block provide superior pain control to opioids? A meta-analysis [ J ]. Anesth Analg, 2006, 102:248-257.
-
4Paul JE, Arya A, Hudburt L, et al. Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta-analysis of randomized controlled trials [ J ]. Anesthesio- logy, 2010, 113:1144-1162.
-
5Sugar SL, Hutson LR Jr, Shannon P, et al. Comparison of extended-release epidural morphine with femoral nerve block to patient-controlled epidural analgesia for postoperative pain control of total knee arthroplasty: a case-controlled study [J]. Ochsner J, 2011, 11:17-21.
-
6Ilfeld BM, Le LT, Meyer RS, et al. Ambulatory continuous femoral nerve blocks decrease time to discharge readiness af- ter tricompartment total knee arthroplasty: a randomized, tri- ple-masked, placebo-controlled study [ J ]. Anesthesiology, 2008, 108:703-713.
-
7Singelyn FJ, Deyaert M, Joris D, et al. Effects of intravenous patient-controlled analgesia with morphine, continuous epi- dural analgesia, and continuous three-in-one block on postop- erative pain and knee rehabilitation after unilateral total knee arthroplasty [ J ]. Anesthesia and Analgesia, 1998, 87: 88-92.
-
8Ilfeld BM, Shuster JJ, Theriaque DW, et al. Long-term pain, stiffness, and functional disability after total knee arthroplasty with and without an extended ambulatory continuous femoral nerve block: a prospective, 1-year follow-up of a multicenter, randomized, triple-masked, placebo-controlled trial [ J]. Reg Anesth Pain Med, 2011,36:116-120.
-
9Birnbaum J, Kip M, Spies CD, et al. The effect of stimula- ting versus nonstimuiating catheters for continuous interscalene plexus blocks in short-term pain management [ J]. J Clin Anesth, 2007, 19:434-439.
-
10Rodrtguez J, Taboada M, Carceller J, et al. Stimulating pop- liteal catheters for postoperative analgesia after hallux valgus repair [ J]. Anesth Analg, 2006, 102:258-262.
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-
1马琳,李清,于泳浩.刺激导管连续三合一股神经阻滞技术用于老年患者单侧全膝关节置换术后自控区域镇痛[J].中华老年医学杂志,2009,28(3):221-224. 被引量:3
-
2李干,李奇,林荔军,段鑫,张西旗.IL-1、MMP-1及TIMP-1在兔骨性关节炎模型滑膜、软骨中的表达[J].实用医学杂志,2011,27(15):2721-2723. 被引量:13
-
3范国明,龚遂良,戴加平,周红梅,陈刚.股神经阻滞对骨关节炎模型兔血清P物质含量的影响[J].中国疼痛医学杂志,2012,18(4):238-241. 被引量:15
-
4张军锋,刘桂芬,张爱莲,董海原,马卫兵.影响膝骨关节炎患者疼痛VAS评分的因素分析[J].中国药物与临床,2012,12(5):642-643. 被引量:80
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-
1孙丹,胡可慧,任正强,王琼,向伟,李信明.脊神经后支神经阻滞治疗骨质疏松性椎体压缩性骨折急性期疼痛的临床疗效观察[J].按摩与康复医学,2020,11(13):48-50. 被引量:2
-
2叶子丰,杨惠,匡浩铭,匡建军,仇湘中,戎宽.肌筋膜理论指导下的针刺股四头肌治疗膝骨关节炎寒湿痹阻证43例临床观察[J].风湿病与关节炎,2023,12(4):10-14.
-
3张悦,李仁淑.超声引导下神经阻滞在膝骨关节炎疼痛治疗中的应用进展[J].中华疼痛学杂志,2023,19(5):847-852.
-
1王雯.32例髋关节置换术后患者功能康复锻炼[J].常州实用医学,2009,25(4):258-259. 被引量:2
-
2金树敏.老年患者全膝关节置换术护理体会[J].中国冶金工业医学杂志,2013,30(4):466-467. 被引量:1
-
3李涛昀.人工髋关节置换术的护理[J].基层医学论坛,2012,16(27):3657-3658.
-
4严力军,王邦军,梅荣成,廉凯.关节镜下治疗陈旧性胫骨髁间棘撕脱骨折[J].实用骨科杂志,2010,16(6):417-419. 被引量:4
-
5杨蕾.人工全膝关节置换术围手术期护理[J].中国冶金工业医学杂志,2012,29(4):464-465.
-
6卢存国,步惊云(摘).患前列腺炎还能坚持体育锻炼吗[J].健康文摘,2008(4):16-16.
-
7白凡,谢加兵,丁国正.浅谈经各种侧切口治疗Pilon骨折的疗效[J].世界最新医学信息文摘,2015,0(64):43-44.
-
8高跃青.老年人工髋关节置换术的围术期护理[J].基层医学论坛,2014,18(6):800-801. 被引量:2
-
9王冬伟.经皮微创空心钉内固定治疗内踝骨折40例疗效分析[J].现代诊断与治疗,2013,24(16):3775-3776. 被引量:5
-
10栗清亮.内服外敷中药治疗膝骨性关节炎[J].中医正骨,2008,20(1):63-63. 被引量:17