摘要
全膝关节置换术(TKA)作为术后疼痛程度较重的手术,临床推荐采用多模式镇痛策略。该策略以区域麻醉技术为核心辅助手段,旨在促进术后早期活动功能恢复,同时有效降低对阿片类药物的依赖性。股神经阻滞(FNB)以往是TKA术后镇痛首选的神经阻滞技术,而内收肌管阻滞(ACB)的运动阻滞较少,因此可作为FNB的替代方案。ACB在股四头肌肌力、术后跌倒风险和功能恢复方面优于FNB,同时可提供类似的镇痛。本文就ACB在TKA中应用的研究进展予以综述,以期为临床实践提供参考。
Total knee arthroplasty(TKA)is a surgical procedure associated with severe postoperative pain,for which a multimodal analgesia strategy is clinically advocated.This strategy,centered on regional anesthesia techniques as a key adjuvant approach,aims to promote early postoperative functional recovery and ambulation while effectively reducing reliance on opioids.Femoral nerve block(FNB)was previously the preferred regional technique for postoperative analgesia after TKA.However,adductor canal block(ACB),which induces less motor block,has emerged as an alternative to FNB.ACB demonstrates superiority over FNB in terms of preserving quadriceps muscle strength,reducing postoperative fall risk,and enhancing functional recovery,while providing comparable analgesic efficacy.This review summarizes the research progress of adductor canal block application in total knee arthroplasty,aiming to offer evidence-based references for clinical practice.
作者
张伊甸
ZHANG Yidian(Department of Anesthesiology,Wenzhou Municipal People's Hospital,Wenzhou,Zhejiang 325000,China)
出处
《医药前沿》
2025年第25期48-51,共4页
Journal of Frontiers of Medicine
