连续股神经阻滞镇痛与静脉药物镇痛对膝关节松解术后关节功能影响的比较
田竞;周大鹏;张毅男;于海龙;赵勇;韩文锋;项良碧;
摘要(Abstract):
[目的]比较连续股神经阻滞镇痛(CFNB)与静脉药物镇痛(IDA)对膝关节松解术后患者膝关节功能的影响。[方法]2008年6月~2011年6月,对29例股骨远端骨折术后膝关节僵直患者采用抽签法进行了随机分组,CFNB组15例,IDA组14例。比较两组患者术后静息状态和被动功能锻炼阶段的VAS评分、补充镇痛药物应用总频次,采用Judet疗效评定法评估松解术后膝关节功能。[结果]CFNB组静息状态及被动功能锻炼阶段VAS评分及补充镇痛药物应用总频次均明显低于IDA组(P<0.05),主动功能锻炼阶段的膝关节屈曲起始角度、术后12 d屈膝角度平均值分别超过IDA组10.2°及18.1°,术后3个月及6个月屈膝角度平均值分别超过IDA组9.3°及8.7°。CFNB组优秀率80%(12/15),较IDA组优秀率64%(9/14)存在统计学差异(P<0.05)。[结论]连续股神经阻滞镇痛能明显减轻术后疼痛、减少补充镇痛药物用量,有利于膝关节松解术后患者膝关节功能的改善。
关键词(KeyWords): 膝关节松解术;股神经阻滞
基金项目(Foundation):
作者(Author): 田竞;周大鹏;张毅男;于海龙;赵勇;韩文锋;项良碧;
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