摘要
目的探讨超声引导下连续股神经阻滞在全膝关节置换术(TKA)患者中的应用效果。方法选取2020年1月至2021年12月中国人民解放军联勤保障部队第九〇〇医院莆田医疗区收治的60例TKA患者作为研究对象,按照随机抽签法分为对照组(30例)与干预组(30例),对照组选择静脉自控镇痛,干预组选择在超声引导下行连续股神经阻滞进行镇痛。比较两组患者术后的疼痛评分、伸膝角度、屈膝角度以及不良反应发生率。结果两组患者视觉模拟评分法(VAS)评分组间、时间及交互作用比较,差异均有统计学意义(P<0.05)。两组患者术后12、24、48 h的VAS评分均高于本组术后6 h,术后24、48、72 h的VAS评分均低于本组术后12 h,术后48、72 h的VAS评分均低于本组术后24 h,术后72 h的VAS评分低于本组术后48 h,差异有统计学意义(P<0.05);干预组术后6、12、24、48、72 h的VAS评分均低于对照组,差异有统计学意义(P<0.05);两组患者伸膝角度、屈膝角度组间、时间及交互作用比较,差异均有统计学意义(P<0.05)。两组患者术后2、7、14 d及2个月的伸膝角度均小于本组术前,术后7、14 d及2个月的伸膝角度均小于本组术后2 d,术后14 d及2个月的伸膝角度均小于本组术后7 d,术后2个月的伸膝角度小于本组术后14 d,差异有统计学意义(P<0.05);两组患者术后2 d的屈膝角度小于本组术前,术后7、14 d及2个月的屈膝角度均大于本组术前及术后2 d,术后14 d及2个月的屈膝角度均大于本组术后7 d,术后2个月的屈膝角度大于本组术后14 d,差异有统计学意义(P<0.05)。干预组患者术后2、7 d的伸膝角度均小于对照组,术后2、7 d的屈膝角度大于对照组,差异有统计学意义(P<0.05)。干预组患者不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论超声引导下连续股神经阻滞对TKA患者术后疼痛有显著的缓解效果,改善其伸膝角度与屈膝角度,减少�
Objective To investigate the effect of ultrasound-guided continuous femoral nerve block in patients undergoing total knee arthroplasty(TKA).Methods From January 2020 to December 2021,60 TKA patients admitted to the Putian Medical District of the 900th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force were selected as research objects,and they were divided into control group(30 cases)and intervention group(30 cases)according to the random drawing lot method,the control group received patient-controlled intravenous analgesia,and the intervention group received ultrasound-guided continuous femoral nerve block for analgesia.The postoperative pain score,knee extension angle,knee flexion angle and adverse reaction rate were compared between the two groups.Results There were significant differences in visual analogue scale(VAS)scores between the two groups in terms of time and interaction(P<0.05).The VAS scores of the two groups at 12,24 and 48 h after operation were higher than that at 6 hours after operation,the VAS scores at 24,48 and 72 h after operation were lower than that at 12 hours after operation,the VAS scores at 48 and 72 h after operation were lower than that at 24 hours after operation,and the VAS scores at 72 h after operation were lower than that at 48 h after operation,the differences were statistically significant(P<0.05).The VAS score of the intervention group was lower than that of the control group at 6,12,24,48,72 h after operation,with statistically significant differences(P<0.05).There were statistically significant differences between the two groups in knee extension angle and knee flexion angle in terms of time and interaction(P<0.05).The knee extension angle of the two groups was lower than that before operation on the 2,7,14 d and 2 month after operation,and the knee extension angle of two groups on the 7,14 d and 2 month after operation was lower than that on the 2 d after operation,and the knee extension angle of two groups on the 14 d and 2 month after operatio
作者
朱文涛
胡贵
ZHU Wentao;HU Gui(Department of Anesthesiology,Putian Medical District of the 900th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force,Fujian Province,Putian 351100,China)
出处
《中国当代医药》
CAS
2023年第8期151-154,共4页
China Modern Medicine
关键词
超声引导
连续股神经阻滞
全膝关节置换术
术后康复
功能锻炼
Ultrasound-guided
Continuous femoral nerve block
Total knee arthroplasty
Postoperative rehabilitation
Functional exercise
