膝关节置换术后连续股神经阻滞镇痛的短期临床效果分析探讨

Short-term clinical effect analysis of continuous femoral nerve block analgesia after knee arthroplasty

目的:探讨膝关节置换术后连续股神经阻滞镇痛的短期临床效果。方法:收集山东省兰陵县人民医院2016年6月至2018年6月收治的80例膝关节置换术患者,采用随机数字表法将患者均分为观察组(n=40)和对照组(n=40)。观察组患者在超声引导下采取连续股神经阻滞镇痛术辅助康复训练。对照组患者术后持续静脉输注舒芬太尼镇痛辅助康复训练。观察两组术后疼痛度以及膝关节活动度。结果:观察组疼痛度以及膝关节活动度明显优于对照组,两组比较,差异有统计学意义(P<0.05)。结论:关节置换术后连续股神经阻滞镇痛可取得更加有效的辅助康复训练效果,值得临床应用和推广。

Objective:To investigate the short-term clinical effect of continuous femoral nerve block analgesia after knee arthroplasty.Methods:Eighty patients with knee arthroplasty admitted to the Lanling People s Hospital from June 2016 to June 2018 were enrolled and were divided into control group(n=40)and observation group(n=40)by random number table.The observation group underwent ultrasound-guided continuous femoral nerve block analgesia assisted rehabilitation.The control group underwent continuous intravenous infusion of sufentanil analgesia assisted rehabilitation.The postoperative pain and knee mobility were observed in both groups.Results:The pain degree and knee joint activity in the observation group were significantly better than those in the control group,with the difference being statistically significant(P<0.05).Conclusion:The continuous femoral nerve block analgesia after joint replacement can achieve more effective auxiliary rehabilitation training,which is worthy of clinical application and promotion.