[1]陶小红,孟继红,潘亚娟,等.超声引导股神经阻滞与收肌管阻滞用于全膝关节置换术后镇痛的跌倒风险[J].介入放射学杂志,2021,30(01):34-38.
 TAO Xiaohong,MENG Jihong,PAN Yajuan,et al.Ultrasound-guided femoral nerve block versus adductor canal block for postoperative analgesia after total knee arthroplasty: comparison of the falling risk[J].journal interventional radiology,2021,30(01):34-38.
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超声引导股神经阻滞与收肌管阻滞用于全膝关节置换术后镇痛的跌倒风险()

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

卷:
30
期数:
2021年01
页码:
34-38
栏目:
非血管介入
出版日期:
2021-01-25

文章信息/Info

Title:
Ultrasound-guided femoral nerve block versus adductor canal block for postoperative analgesia after total knee arthroplasty: comparison of the falling risk
作者:
陶小红 孟继红 潘亚娟 单玉兰
Author(s):
TAO Xiaohong MENG Jihong PAN YajuanSHAN Yulan.
Department of Anesthesia and Surgery, Affiliated Haian Hospital, Nantong University,Nantong, Jiangsu Province 226600,China
关键词:
【关键词】 超声引导 股神经阻滞 收肌管阻滞 全膝关节置换
文献标志码:
A
摘要:
【摘要】 目的 探讨超声引导股神经阻滞与收肌管阻滞用于全膝关节置换术后镇痛的跌倒风险比较。方法 2016年11月至2019年11月将80例择期行单侧全膝关节置换的患者随机分为股神经阻滞组(39例)和收肌管阻滞组(41例)。两组患者在术后即刻接受基于持续收肌管阻滞和股神经阻滞的多模式镇痛。比较两组患者在术后24 h和48 h的Tinetti评分、肌力分级评分(MMT评分)、TUG(timed up and go test) 时间以及视觉模拟评分(VAS)和阿片类药物的使用剂量的变化。 结果 术后24 h和48 h,收肌管阻滞组的Tinetti评分以及评分<19分的患者比例显著优于股神经阻滞组(P<0.05);对于MMT评分和TUG时间,术后24 h,收肌管阻滞组显著优于股神经阻滞组(P<0.05),术后48 h,两组之间差异无显著的统计学意义(P>0.05);术后24 h和48 h两组患者的VAS评分及阿片类药物使用剂量差异无显著的统计学意义;两组患者均未出现超声引导阻滞操作相关的并发症。结论 超声引导下收肌管阻滞和股神经阻滞均可有效用于全膝关节置换后的术后镇痛,收肌管阻滞能更好地保存股四头肌肌力且与股神经阻滞相比,前者发生跌倒风险的显著降低。

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备注/Memo

备注/Memo:
(收稿日期:2020- 01- 30)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-01-25