股神经阻滞在膝关节手术后镇痛中的应用进展

Application progress of femoral nerve block in analgesia after knee surgery

全膝关节置换术是解决膝关节炎患者慢性疼痛、改善关节功能和患者生活质量的有效方法,但术后疼痛管理是骨科医师、麻醉医师、患者面临的一大挑战,缓解患者疼痛对增加术后舒适度、减轻患者心理应激、加快术后康复、促进功能锻炼进程、减少并发症发生、缩短患者住院时间等均具有重要意义。但全膝关节置换术后的镇痛不仅要求充分的镇痛,又要求对关节运动功能的影响最小,这对疼痛管理提出了较高的要求。文章对股神经阻滞在膝关节手术后镇痛中的应用进行综述。

Total knee arthroplasty is an effective method to solve chronic pain in knee arthritis patients,improve joint function and quality of life,but postoperative pain management is a major challenge for orthopedics,anesthesiologists and patients.Relieving the pain is of great significance for increasing postoperative comfort,reducing the patient's psychological stress,speeding up postoperative rehabilitation,promoting the process of functional exercise,reducing the occurrence of complications,and shortening the hospital stay of the patient.However,analgesia after total knee arthroplasty requires not only adequate analgesia,but also minimal impact on joint motor function,which imposes higher requirements on pain management.Regional block technology can meet this requirement and provide a good method for pain management.