连续股神经阻滞结合浸润麻醉在全膝关节置换术患者中的镇痛效果分析

Analgesic Effect of Continuous Femoral Nerve Block Combined with Invasive Anesthesia in Patients Undergoing Total Knee Replacement

目的:探讨全膝关节置换术患者予以连续股神经阻滞联合浸润麻醉的临床价值。方法:以2016年5月-2017年6月笔者所在医院72例全膝关节置换术患者为研究对象,遵循完全随机原则均分为两组。对照组实施连续股神经阻滞麻醉,在此操作下,观察组结合浸润麻醉。观察两组术后疼痛及恢复情况。结果:观察组术后8、12、24及48 h静态、动态下疼痛评分均优于对照组,监护室出室时间、监护时间及自主呼吸恢复时间分别为(13.97±1.29)min、(11.50±0.96)min、(5.15±0.28)min,均短于对照组,差异均有统计学意义(P<0.05)。结论:在全膝关节置换术中,连续股神经阻滞联合浸润麻醉应用效果较佳,可有效缓解患者术后疼痛,利于预后改善及术后恢复。

Objective： To investigate the clinical value of continuous femoral nerve block combined with invasive anesthesia in patients undergoing total knee replacement.Method： From May 2016 to June 2017 in the author＇s hospital 72 cases of total knee arthroplasty patients were selected as the research object, follow the principle of completely randomy divided into two groups.Control group was given continuous femoral nerve block anesthesia in operation next, the observation group with infiltration anesthesia.The postoperative pain and recovery of two groups were observed.Result： The dynamic pain scores of observation group after 8, 12, 24 and 48 hours under the static were better than the control group, ICU room time, monitoring time and recovery time of spontaneous breathing were（13.97 ± 1.29） rain, （11.50 ± 0.96） min, （5.15 ± 0.28）rain, compared with the control group, obviously lower, the differences were statistically significant（P〈0.05）.Conclusion： In total knee arthroplasty, continuous femoral nerve block combined with infiltration anesthesia has better effect, can effectively relieve postoperative pain, can improve prognosis and postoperative recovery.