摘要
目的观察连续股神经阻滞复合氟比洛芬酯应用于全膝关节置换术后镇痛的临床疗效及不良反应。方法将新乡市第一人民医院收治的72例接受全膝关节置换术患者随机分为实验组和对照组,两组患者在全膝关节置换术后均给予连续股神经阻滞,实验组在此基础上静脉注射氟比洛芬酯镇痛,比较两组患者的术后静态视觉模拟评分(RVAS)、动态视觉模拟评分(DVAS)、膝关节HSS功能评分、患者满意度以及不良反应发生率。结果实验组RVAS、DVAS显著低于对照组(P<0.05),术后2dHSS评分、术后3d膝关节HSS评分、患者满意度、不良反应发生率均显著高于对照组(P<0.05),术后1d两组HSS评分差异无统计学意义(P>0.05)。结论连续股神经阻滞复合氟比洛芬酯应用于全膝关节置换术效果显著,患者满意度高,且较为安全,值得临床推广应用。
Objective To observe the clinical efficacy and adverse effects of continuous femoral nerve block（CFNB）combined with flurbiprofen axetil in postoperative analgesia of total knee arthroplasty（TKA）.Methods A total of 72cases with TKA,receiving TKA in this hospital,were randomly divided into experiment group,treated by CFNB and flurbiprofen axetil,and control group,treated by CFNB alone.Postoperative static visual analogue scale（RVAS）,dynamic visual analog scale（DVAS）,knee HSS score,patient satisfaction and incidence of adverse reactions were compared between the two groups after the treatment.Results RVAS and DVAS of experiment group were significantly lower（P0.05）.HSS scores of 2and 3days after operation,patient satisfaction and incidence of adverse reactions of experiment group were significantly higher（P0.05）,while there was no significant difference of HSS scores of 1day after operation（P0.05）.Conclusion CFNB combined with flurbiprofen axetil could be with remarkable effectiveness in TKA,with great patient satisfaction,which might be worthy of clinical application.
出处
《检验医学与临床》
CAS
2013年第19期2550-2551,2553,共3页
Laboratory Medicine and Clinic
关键词
股神经阻滞
氟比洛芬酯
膝关节置换术
镇痛
femoral nerve block
flurbiprofen axetil
knee replacement surgery
analgesia
