|
|
Application effect of cocktail after knee joint replacement |
FENG Dian-peng LIU Guang-hui JIANG Tao |
Department of Orthopaedics,the Second People′s Hospital of Dalian City in Liaoning Province,Dalian 116000,China |
|
|
Abstract ObjectiveTo analyze the application effect of cocktail after knee joint replacement.Methods60 patients underwent the unilateral total knee arthroplasty and 60 patients underwent the single knee replacement of knee joint in Department of Orthopaedics of the Second People′s Hospital of Dalian City from 2012 to 2016 were selected and they were divided into the two groups according to admission time,and there were 30 cases in each group.The observation group (admission after 2014)was given cocktail analgesia during operation,while the control group (admission before 2014)were not given any analgesic drugs during operation.NRS score of sicken knee at rest and during exercise after 24 h,48 h,3 d,7 d,14 d surgery and the incidence of adverse reaction were observed.ResultsFor total knee arthroplasty and single condylar joint replacement,NRS score at rest and during exercise after 24 h,48 h,3 d operation in the observation group were significantly lower than those of the control group,and there was a statistical difference (P<0.05),and there was no statistical difference of NRS score at rest and during exercise after 7 d,14 d surgery between groups(P>0.05).The incidence rate of adverse reaction the observation group after operation was lower than that of the control gorup,with statistically significant difference(P<0.05).ConclusionAdopting cocktail therapy for postoperative analgesia in total knee arthroplasty and unicompartmental knee arthroplasty has definite analgesic effect,and the adverse reaction is fewer,the safety is higher,which can provide better choice for postoperative analgesia regimen in clinical work.
|
|
|
|
|
[1] |
李晋玉,贾育松,徐林,等.超前镇痛和鸡尾酒疗法对初次单侧TKA术后镇痛与关节活动度改善的疗效评价[J].中国中医骨伤科杂志,2015,14(12):15-19.
|
[2] |
陆慧红,李桂凤,白浪,等.全膝关节置换后局部浸润的持续镇痛效果[J].中国组织工程研究,2014,18(4):529-534.
|
[3] |
史斌,安静,陈龙刚,等.人工膝关节置换术后疼痛影响因素的分析[J].中国组织工程研究,2017,21(7):993-997.
|
[4] |
Westonsimons JS,Pandit H,Haliker V,et al.Intra-articular local anaesthetic on the day after surgery improves pain and patient satisfaction after unicompartmental knee replacement:a randomised controlled trial[J].Knee,2012,19(4):352-355.
|
[5] |
Frehill B,Crocombe AD,Agarwal Y,et al.Finite element assessment of block-augmented total knee arthroplasty[J].ComputMethodsBiomech Biomed Engin,2015,18(15):1726-1736.
|
[6] |
尹东,黄宇,莫冰峰,等.环氧化酶-2抑制剂在膝关节置换围手术期镇痛及功能康复的作用[J].中华关节外科杂志(电子版),2014,8(2):171-174.
|
[8] |
贺葵,申利英,郭雪梅.疼痛管理对全上膝关节置换患者置换后疼痛及恢复的影响[J].实用临床医药杂志,2015,19(6):135-137.
|
[10] |
赖露颖,许睿,徐世元.全膝关节置换置换后镇痛治疗的研究进展[J].国际麻醉学与复苏杂志,2015,36(5):443-446.
|
[7] |
Nwachukwu BU,Bozic KJ,Schairer WW,et al.Current status of cost utility analyses in total joint arthroplasty:a systematic review[J].Clin Orthop Relat Res,2015,473(5):1815-1827.
|
[9] |
Skinner HB,Shintani EY.Resultsof a multimodal analgesic trim involving patients with total hip or total knee arthroplasty[J].Am J Orthop,2004,33(10):85-92.
|
[11] |
Garciaolmo D,Herreros D,Pascual I,et al.Expanded adiposederived stem cells for the treatment of complex perianal fistula:a phase Ⅱ clinical trial[J].Dis Colon Rectum,2009,52(1):79-86.
|
[12] |
Ashraf A,Raut VV,Canty SJ,et al.Pain control after primary total knee replacement.A prospective randomised controlled trial of local infiltration versus single shot femoral nerve block[J].Knee,2013,20(5):324-327.
|
[13] |
Horn BJ,Cien A,Reeves NP,et al.Femoral nerve block vs periarticular bupivacaine liposome injection after primary total knee arthroplasty:effecton patient outcomes[J].J Am Osteopath Assoc,2015,115(12):714-719.
|
[14] |
Golder FJ,Dax S,Baby SM,et al.Identification and characterization of GAL-021 as a novel breathing control modulator[J].Anesthesiology,2015,123(5):1093-1104.
|
[15] |
Shanwani A,Nor AM,Amri N.Ligation of the intersphincteric fistula tract(LIFT):a sphincter-saving technique for fistula-in-ano[J].Dis Colon Rectum,2010,53(1):39-42.
|
|
|
|