多模式镇痛在股骨髁上截骨矫形术中的应用  

Synthetical analgesia in femoral supracondylar osteotomy

作　　者：曹华[1] 李桓毅[1] 刘方刚[1] 李新忠[1] 黄超[1] 

机构地区：[1]解放军第359医院骨科全军肢体伤残治疗中心,江苏镇江212001

出　　处：《中国矫形外科杂志》2011年第1期20-22,共3页Orthopedic Journal of China

摘　　要：[目的]评价多模式镇痛对股骨髁上截骨矫形内固定术后疼痛、膝关节活动度及不良反应的影响。[方法]从2008年11月~2009年11月在我院行股骨髁上截骨矫形内固定术的60例患者随机分为观察组和对照组,每组30例,观察患者术后疼痛（包括静息痛、运动疼痛）,膝关节的活动度及术后的不良反应。[结果]所有患者手术经过顺利,无血管神经损伤等并发症。膝屈曲畸形均得到矫正,屈曲角度由术前的27.4°（18°~41°）矫正到术后的2.8°（-5°~8°）,平均矫正24.6°。观察组术后静息疼痛及运动疼痛评分均比对照组低,且两组之间的差异有统计学意义（P〈0.05）;观察组术后关节活动度明显比对照组高,两者之间差异有统计学意义（P〈0.05）：观察组术后的不良反应发生率比对照组低,两者之间差异有统计学意义。[结论]在股骨髁上截骨矫形内固定术围手术期使用多模式镇痛疗法能有效缓解术后疼痛,改善膝关节活动范围及减少术后的不良反应。[Objective]To evaluate the synthetical analgesia effect and safety in patients undergone the femoral supracondylar osteotomy. [Methods]From November 2008 to November 2009,sixty patients were randomly divided into two groups,observe group and control group.After operation,pain intensity was measured using visual analog scale（VAS）,knee joint ranges of motion and side effects were monitored.[Results]VAS pain scores after operation of the patients in the observe group had significantly decreased compared with the controls.It was also found that the incidence of side effects was significantly lower in observe group than in control group.Compared with the controls,the patients in the observe group had significantly larger ranges motion of knee joint.[Conclusion]The synthetical analgesia in patients undergoing femoral supracondylar osteotomy is a more effective approach to control the postoperation pain,and it can lead a quick functional recovery.

关 键 词：股骨髁上截骨 畸形矫正 镇痛 

分 类 号：R687.3[医药卫生—骨科学]