全膝关节置换术应用连续股神经阻滞镇痛的观察及护理  

Observation and nursing care of patients receiving continuous femoral nerve block analgesia in total knee replacement

作　　者：王晶[1] 贾梦醒[1] 李莹[1] 高丽[1] 

机构地区：[1]徐州医学院附属医院

出　　处：《全科护理》2015年第21期2024-2027,共4页Chinese General Practice Nursing

摘　　要：[目的]探讨全膝关节置换术应用连续股神经阻滞镇痛的效果。[方法]将行全膝关节置换手术的60例病人随机分为连续股神经阻滞镇痛(CFNB)组和静脉自控镇痛(CIA)组各30例,CFNB组病人术后连续股神经阻滞镇痛,CIA组病人术后静脉自控镇痛。比较两组病人术后不同时间视觉模拟评分法(VAS)疼痛评分、术后镇痛并发症发生率、膝关节活动度等。[结果]两组病人术后VAS疼痛评分、膝关节活动度、镇痛并发症发生率比较,差异有统计学意义(P<0.05)。[结论]全膝关节置换术应用连续股神经阻滞镇痛效果良好、副反应少,能够最大限度地恢复假体关节的功能,促进病人的快速康复。Objective：To probe into the application effect of continuous femoral nerve block analgesia for patients undergoing total knee replacement.Methods：A total of 60 patients with total knee replacement surgery were randomly divided into CFNB group and CIA group from May in 2013 to September in 2014.In CFNB group,30 patients received the postoperative continuous femoral nerve block analgesia.30 patients in CIA group received postoperative self control introvenous analgesia.The VAS pain score,postoperative pain score,knee joint activ-ity,etc.were compared between both groups.Results：There were significant differences in postoperative VAS pain score,knee activity and incidence of analgesic complications between CFNB group and CIA group（P 〈0.05）. Conclusion：Continuous femoral nerve block has good analgesic effect and less side effect in patients undergoing total knee replacement.It can maximize the recovery of the function of prosthetic joint and promote the rapid re-covery of patients.

关 键 词：全膝关节置换术 股神经阻滞 镇痛 护理 

分 类 号：R473.6[医药卫生—护理学]