全膝置换术围手术期多模式镇痛的疗效观察

The clinical effect of multimodality analgesia after total knee arthroplasty

目的对比不同镇痛方法对膝关节置换术后疼痛治疗效果。方法将79例患者按随机数字表分为3组，分别是“鸡尾酒”镇痛法组、椎管内镇痛组、多模式镇痛组，分别对三组术后的VAS疼痛评分、关节活动度及不良反应进行对比研究。结果术后多模式镇痛组患者24h的运动疼痛评分和48h后的静息疼痛评分均小于其他两组，术后1～2周多模式镇痛组的关节活动度明显优于其他两组。结论多模式超前镇痛方法实施简单，效果肯定，值得临床医师借鉴。

Objective To compare the effect of different analgesia methods on the treatment of pain after total knee arthroplasty （ TKA）, and find the ideal analgesia way for peri operation period of TKA. Methods A total of 79 patients was randomly divided into three groups ： ＂cocktail＂, spinal, and multimo- dal analgesia grouPs. A comparative study among three groups was conducted on the postoperative visual an- alogue scale （VAS） of pain score, range of motion, and adverse reaction. Results The motion pain score of using muhimodal analgesia patients 24 hours after operation and the resting pain scores 48 hours after operation were less than the other two groups. The postoperative joint range of motion in 1 - 2 weeks of multimodal analgesia group was significantly better than the other two groups. Conclusions Muhimodal analge- sia was an effective way to treat pain after knee arthroplasty.