膝关节镜术后关节腔内联合用药对患者术后疼痛及关节肿胀的影响  

Effect of the knee joint cavity mirrors the combination with drugs in treatment of postoperative pain and swelling of the joints

作　　者：陈志超[1] 顾祖超[1] 李志力[1] 谢直跃[1] 胡江海[1] 

机构地区：[1]成都市第一人民医院骨科,四川成都610041

出　　处：《现代预防医学》2012年第10期2608-2609,共2页Modern Preventive Medicine

摘　　要：目的研究关节镜术后关节腔内联合用药对患者术后疼痛、关节积液的影响。方法 80例患者分为两组:A组:术后关节腔内注射0.5%罗哌卡因2ml+玻璃酸钠2.5ml+得宝松1ml,B组:术后关节腔内注射0.5%罗哌卡因2ml。记录术后第4、8、12、24、36、48h患者屈膝90度的视觉模拟评分(VAS)和不良反应,并评价膝关节腔积液情况(浮髌实验)。结果在4、8h,各组VAS评分相当;在12、24、36、48h,A组VAS评分小于B组;两组均无不良反应发生。A组关节浮髌实验阳性率较B组明显低。结论膝关节镜手术后,关节腔内注入罗哌卡因75mg+玻璃酸钠2.5ml+得宝松1ml,在有效镇痛的同时可明显缓解患者术后疼痛,并可减轻关节腔的渗出,利于早期的功能康复。OBJECTIVE To study the effect of the knee joint cavity mirrors the combination in treatment of postoperative pain and swelling of the joints.METHODS 80 patients were randomly divided into two groups：group A：injection of 0.5% 2ml of ropivacaine in joint ＋ 2.5ml sodium hyaluronate ＋ 1ml Diprospan.Group B：injection of 0.5% 2ml of ropivacaine in joint.The VAS and adverse reaction were recorded at the time of 4,8,12,24,36 and 48h after operation.The knee cavity effusion was assessed.RESULTS At the time of 8 hours,the VAS score was equal.At the time of 12,24,36 and 48h,the VAS score was lower than group B.The positive rate of group A was lower than group B.CONCLUSION The knee joint cavity mirrors the combination with drugs is effective in treatment of postoperative pain and swelling of the joints.

关 键 词：膝关节镜 术后镇痛 罗哌卡因 玻璃酸钠 

分 类 号：R684[医药卫生—骨科学]