鸡尾酒疗法在全膝关节置换术后镇痛的研究进展

Research progress of cocktail therapy for post-operative pain control in total knee arthroplasty

局部浸润麻醉（鸡尾酒疗法）是比较新颖的人工关节置换术后镇痛方法,具有良好的镇痛效果,以控制术后疼痛、减少不良反应及帮助患者康复。这项技术最早由Bianconi等[1]提出并应用于膝关节置换术中,其原理主要是消除手术伤口对疼痛的刺激与传导,以达到预防和控制术后痛的目的。

Pain management is a main determinant of functional recovery after total knee arthroplasty（ TKA）. Local infiltration analgesia（ or cocktail therapy） known as a periarticular infiltration technique in operations with a combined administration of local anesthetics, epinephrine and other adjuvants, has gained increasing popularity in total knee arthroplasty. In this review, the latest progress of within-protocol comparisons and between-protocol comparisons are discussed.