超声引导下连续隐神经置管阻滞在膝关节置换术后的应用价值

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Abstract Objective To explore the application value of ultrasound-guided continuous saphenous nerve catheterization block after knee arthroplasty.Methods A total of 80 csaes with knee arthroplasty under spinal anesthesia from July 2017 to July 2019 treated in our hospital were selected.According to the random number table method,they were divided into control group and observation group, with 40 cases in each group.The control group received intravenous continuous patient-controlled analgesia, and the observation group received ultrasound-guided continuous saphenous nerve block analgesia.The pain score at different time points after operation, the time of getting out of bed after operation,the knee joint activity 48 h after operation, the hospitalization time after operation, and the incidence rate of nausea,vomiting, dizziness, urinary retention and lower limb muscle strength reduction were compared between the two groups.Results The pain scores in the observation group at 12, 24 and 48 h after operation were lower than those in the control group, the differences were statistically significant (P＜0.05).The ambulation time in the observation group after operation was earlier than that in the control group, the knee joint activity at 48 h after operation was greater than that in the control group, the hospitalization time after operation was shorter than that in the control group, the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group at 48 h after operation were lower than control group, the difference was statistically significant (P＜0.05).Conclusion For patients undergoing knee arthroplasty, ultrasound-guided continuous saphenous nerve catheterization block analgesia can effectively reduce postoperative pain and promote early recovery of bed and joint function,with fewer complications and high safety.

Key words： Saphenous nerve block Continuous nerve block Ultrasound-guided Knee Joint Replacement Postoperative application

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	YANG Zong-lei

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YANG Zong-lei. Application value of ultrasound -guided continuous saphenous nerve catheterization block after knee arthroplasty[J]. 中国当代医药, 2020, 27(11): 145-148.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I11/145

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