摘要
目的:分析超声引导下连续收肌管阻滞治疗全膝关节置换术患者的临床效果。方法:2018年5月-2020年2月收治接受全膝关节置换术的患者76例,随机分为两组,各38例。观察组应用超声引导下连续收肌管阻滞;对照组应用超声引导下连续股神经阻滞。比较两组临床效果。结果:两组不同时间静息状态下及运动状态下运动视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);观察组术后不同时间膝关节活动度均高于对照组,差异有统计学意义(P<0.05)。结论:全膝关节置换术患者采用超声引导下连续收肌管阻滞,能够取得理想的镇痛效果,且安全性较高,有利于促进患者术后膝关节功能恢复。
Objective:To explore the clinical effect of ultrasound-guided continuous adductor block on elderly patients after total knee arthroplasty.Methods:From May 2018 to February 2020,76 patients undergoing total knee arthroplasty were selected and randomly divided into two groups with 38 cases in each group.The observation group was treated with continuous adductor block under ultrasound guidance,while the control group was treated with continuous femoral nerve block guided by ultrasound.We compared the clinical effects of the two groups.Results:There was no significant difference in VAS scores between the two groups at different time points(P>0.05).The range of motion of knee joint in the observation group was higher than that in the control group at different time after operation,the difference was statistically significant(P<0.05).Conclusion:Continuous adductor block guided by ultrasound can achieve ideal analgesic effect in patients undergoing total knee arthroplasty,and the safety is high,which is conducive to the recovery of knee joint function.
作者
王宇
Wang Yu(Department of Anesthesiology,the Central Hospital of Yongzhou City,Hunan Yongzhou 425000)
出处
《中国社区医师》
2021年第1期40-41,共2页
Chinese Community Doctors
关键词
超声引导
连续收肌管阻滞
老年患者
全膝关节置换术
术后镇痛效果
膝关节活动度
Ultrasound guided
Continuous adductor block
Elderly patients
Total knee arthroplasty
Postoperative analgesic effect
Knee range of motion
