摘要
目的:探讨全膝关节置换术后第一天关节内注射罗哌卡因对术后镇痛的早期疗效。方法:全膝关节置换术后80例病人随机分为2组。观察组:术后第一天拔除引流管后行关节内注射罗哌卡因。对照组术后第一天拔除引流管后不行关节内注射治疗。评估的内容包括术后疼痛视觉模拟评分(休息和运动状态)、手术后住院时间、术后初次下地时间、镇痛药物用量、切口并发症。结果:在休息时,术后连续5 d观察组的视觉模拟评分曲线下面积低于对照组(424±32 vs 515±39,t=11.41,P<0.01)。术后第1天、2天观察组的各个时间点疼痛视觉模拟评分低于对照组(P<0.05~P<0.01)。观察组术后住院时间低于对照组,初次下地时间早于对照组(P<0.01)。结论:全膝关节置换术后第一天关节内注射罗哌卡因可以对病人起到较好的镇痛效果,利于病人康复。
Objective:To explore the early effect of intra-articular injection of ropivacaine on postoperative analgesia on the first day after total knee replacement.Methods:Eighty patients treated with total knee arthroplasty were randomly divided into the observation group and control group.The observation group and control group were treated with and without intra-articular injection of ropivacaine after the drainage tube was removed on the first day after operation,respectively.The postoperative pain visual simulation score(rest and exercise state),postoperative hospital stay,postoperative first time to the ground,analgesic drug dosage and incision complications were evaluated in two groups.Results:At rest,the area under the visual analogue score curve in observation group for 5 consecutive days after surgery was significantly lower than that in control group(424±32 vs 515±39,P<0.01).The visual analogue scores of pain at various time points in observation group were significantly lower than those in control group on the first and second day after operation(P<0.05 to P<0.01).The length of hospital stay in observation group was significantly lower than that in control group(P<0.01).The first landing time in observation group was significantly earlier than that in control group(P<0.01).Conclusions:The intra-articular injection of ropivacaine on the first day after total knee arthroplasty is a good analgesic effect on patients,and conducive to recovery.
作者
裴立家
李小洋
刘扬
王旭义
常文举
丁海
王志岩
周新社
PEI Li-jia;LI Xiao-yang;LIU Yang;WANG Xu-yi;CHANG Wen-ju;DING Hai;WANG Zhi-yan;ZHOU Xin-she(Department of Orthopedics,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004;Department of Orthopedics,The First People′s Hospital of Chuzhou,Chuzhou Anhui 239000,China)
出处
《蚌埠医学院学报》
CAS
2020年第9期1207-1210,共4页
Journal of Bengbu Medical College
基金
蚌埠医学院自然科学基金项目(BYKY1782)
安徽省蚌埠市级科技创新指导类项目。
关键词
全膝关节置换
罗哌卡因
术后镇痛
total knee arthroplasty
ropivacaine
postoperative analgesia
