基础医学与临床 ›› 2015, Vol. 35 ›› Issue (5): 680-683.

• 研究论文 • 上一篇    下一篇

人工膝关节表面置换术患者术后镇痛效果调查

马璐璐1,任立英2,黄宇光2   

  1. 1. 北京协和医院麻醉科
    2. 北京协和医院
  • 收稿日期:2014-12-23 修回日期:2015-03-15 出版日期:2015-05-05 发布日期:2015-04-28
  • 通讯作者: 黄宇光 E-mail:garybeijing@163.com

A retrospective survey of patients’ satisfaction to pain relief after total knee replacement

  • Received:2014-12-23 Revised:2015-03-15 Online:2015-05-05 Published:2015-04-28

摘要: 目的 对人工膝关节表面置换术患者术后镇痛效果进行评估。 方法 对2011年1月-2012年6月在北京协和医院行人工膝关节表面置换术的430名患者术后镇痛效果进行回顾性分析。 结果 连续股神经阻滞组视觉模拟评分低于静脉自控镇痛组。舒芬太尼和吗啡静脉自控镇痛效果类似,但舒芬太尼组恶心、呕吐副作用发生率低于吗啡组。 结论 人工膝关节表面置换术术后疼痛评分高,单一的镇痛模式不能满足术后镇痛需求,应采用多模式镇痛方式,缓解术后疼痛,提高患者满意度。

关键词: 术后急性疼痛, 静脉自控镇痛, 连续股神经阻滞, 视觉模拟评分, 人工膝关节表面置换术

Abstract: Objective To evaluate the efficacy of postoperative analgesia in patients after total knee replacement. Methods 430 patients who had total knee replacement between January 2011 and June 2012 at Peking Union Medical College Hospital were enrolled. Results Continous femoral nerve block had better pain control for patients after total knee replacement. Morphine and sufentanil had similar analgesic effect for intravenous patient control analgesia. Side effects, including nausea and vomiting were higher in morphine group. Conclusion Postoperative pain after total knee replacement is usually severe and multi-model analgesia is necessary for this group of patients.

Key words: acute postoperative pain, intravenous patient control analgesia, continous femoral nerve block, visual analogue scale, total knee replacement

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