全膝关节置换治疗膝关节炎术后早期镇痛的研究进展

Research progress on early analgesia after total knee arthroplasty for knee osteoarthritis

因膝关节炎而行全膝关节置换术的患者在术后早期多会出现程度不一的疼痛，这直接影响术后膝关节早期的功能锻炼及康复。目前，常用的镇痛方法有静脉自控镇痛、硬膜外自控镇痛、连续股神经阻滞镇痛、关节周围注射药物镇痛以及一些非药物性镇痛等。本文对全膝关节置换术后早期镇痛方法研究进展进行综述。

Objective Patients with knee osteoarthritis undergoing total knee arthroplasty may have a different degree of pain during the perioperative period. This will not only bring a lot of adverse effects to the patients,and directly affect the early postoperative functional exercise and rehabilitation of the knee joint. At present,the commonly methods used to relieve the pain after TKA are：patient con-trolled Intravenous analgesia（PCIA）、patient controlled epidural analgesia（ PCEA）、continuous femoral nerve block analgesia（CFNB）、joint peripheral injection analgesia and some methods without using medi-cine. In this paper,the analgesia methods used during the perioperative period of TKA and the latest de-velopment are reviewed.