[1]单玉兰,周晓林,徐小青.超声引导髂筋膜阻滞与股神经阻滞治疗全膝关节置换后疼痛的疗效比较[J].介入放射学杂志,2020,29(12):1244-1248.
 SHAN Yulan,ZHOU Xiaolin,XU Xiaoqing..Ultrasound-guided iliac fascia block versus ultrasound-guided femoral nerve block for the treatment of pain after total knee arthroplasty: comparison of curative effects[J].journal interventional radiology,2020,29(12):1244-1248.
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超声引导髂筋膜阻滞与股神经阻滞治疗全膝关节置换后疼痛的疗效比较()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年12
页码:
1244-1248
栏目:
临床研究
出版日期:
2020-12-25

文章信息/Info

Title:
Ultrasound-guided iliac fascia block versus ultrasound-guided femoral nerve block for the treatment of pain after total knee arthroplasty: comparison of curative effects
作者:
单玉兰 周晓林 徐小青
Author(s):
SHAN Yulan ZHOU Xiaolin XU Xiaoqing.
Department of Anesthesia, Affiliated Haian Hospital, Nantong University, Nantong, Jiangsu Province 226600, China
关键词:
【关键词】 膝关节置换术膝关节疼痛股神经阻滞 髂筋膜阻滞超声引导
文献标志码:
A
摘要:
【摘要】 目的 探讨超声引导下股神经阻滞和髂筋膜阻滞治疗全膝关节置换后疼痛的疗效比较。方法 2016年7月至2019年5月,纳入84例年龄在20~80岁且美国麻醉师协会(ASA)分级为Ⅰ~Ⅱ计划进行单侧全膝关节置换患者。使用计算机随机化分组将患者分为2组。一组40例患者接受超声引导髂筋膜阻滞(FIB组),另一组44例接受超声引导股神经阻滞(FNB组)。记录术后30 min和1、2、6、12和24 h的视觉模拟评分(VAS)和吗啡消耗剂量。填写手术后24 h,患者完成恢复质量(QoR- 40)问卷,同时记录术后恶心、呕吐不良反应。结果 与FNB组相比,FIB组术后24 h的VAS水平显著降低(P<0.05),其他1~12 h时间两组VAS评分没有明显差异。FNB组术后0~30 min的吗啡消耗剂量显著低于FIB组;然而,FIB组术后6~24 h的吗啡消耗剂量显著低于FNB组。术后24 h FIB组的QoR- 40评分显著高于FNB组(P<0.05)。两组患者在术后恶心、呕吐不良反应方面没有显著差别。FNB组有1例患者术后发现手术侧大腿前侧感觉障碍。结论 股神经阻滞在术后最初30 min内提供了更有效的镇痛效果。6 h后,髂筋膜阻滞表现出更好的疼痛控制。且髂筋膜阻滞患者的术后恢复质量较高。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019- 09- 17)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-12-16