本文選題：持續(xù)收肌管阻滯 + 持續(xù)股神經(jīng)阻滯��； 參考：《蘇州大學(xué)》2015年碩士論文

【摘要】：目的:評(píng)估持續(xù)收肌管阻滯對(duì)全膝關(guān)節(jié)置換術(shù)(total knee arthroplasty,TKA)后早期活動(dòng)的影響。方法;接受單側(cè)TKA手術(shù)患者60例,隨機(jī)分為兩組,每組30例,A組接受持續(xù)收肌管阻滯,F組接受持續(xù)股神經(jīng)阻滯。記錄TKA術(shù)后兩種鎮(zhèn)痛方法患者術(shù)后第1,2天每天總的步行距離,膝關(guān)節(jié)主動(dòng)彎曲和伸直角度;每日阿片類(lèi)藥使用量,疼痛評(píng)分及住院時(shí)間。結(jié)果:A組術(shù)后第1天[(22±4)m vs.(6±5)m,P0.05]和第2天[(61±8)m vs.(22±9)m,P0.05]步行距離明顯長(zhǎng)于F組(P0.05)。兩組患者膝關(guān)節(jié)主動(dòng)彎曲和伸直角度、每日阿片類(lèi)藥使用量、疼痛評(píng)分和住院時(shí)間等差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論;持續(xù)收肌管阻滯和持續(xù)股神經(jīng)阻滯對(duì)膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛作用相當(dāng);持續(xù)收肌管阻滯能促進(jìn)TKA術(shù)后早期行走。
[Abstract]:Objective: to evaluate the effect of continuous adductor block on early activity after total knee arthroplasty. Methods: sixty patients with unilateral TKA were randomly divided into two groups: group A (n = 30) received continuous adductor canal block and group F (n = 30) received continuous femoral nerve block. The total walking distance, knee joint flexion and extension angle, opioid usage, pain score and hospitalization time were recorded. Results the walking distance of group A was significantly longer than that of group F on day 1 [22 鹵4 vs.(6 鹵5 vs.(6] and day 2 [61 鹵8m vs.(22 鹵9m]. There was no significant difference in knee joint flexion and elongation angle, daily opioid usage, pain score and hospitalization time between the two groups. Conclusion: continuous adductor canal block and sustained femoral nerve block have the same effect on analgesia after knee arthroplasty, and continuous adductor block can promote early walking after TKA.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R614

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