股神经联合坐骨神经阻滞对人工膝关节置换术后疼痛与早期疗效的影响研究  

Study on Pains and Early Effects of the Femoral Nerve Combined With Sciatic Nerve Block on Patients With Total Knee Arthroplasty(TKA)

作　　者：詹洋[1] 王松清[1] 翁绳健[1] 吴立忠[1] 吴星[1] 康荣彬 郑萍[1] 李炜明[1] 

机构地区：[1]厦门大学附属福州市第二医院骨关节科四区,福建福州350007

出　　处：《中国卫生标准管理》2016年第24期183-185,共3页China Health Standard Management

摘　　要：目的拟研究股神经联合坐骨神经阻滞对人工膝关节置换术后疼痛与早期疗效的影响,为其临床推广应用奠定基础。方法 TKA患者术后于3个不同时间点应用股神经联合坐骨神经阻滞,观察其对患者疼痛及早期关节功能情况的影响,以明确股神经联合坐骨神经阻滞的方法对TKA患者术后早期的疗效。结果 TKA患者术后于3个不同时间点应用股神经联合坐骨神经阻滞,其术后疼痛较对照组明显减轻,术后功能锻炼水平较好,无明显不良反应。结论应用股神经联合坐骨神经阻滞可以更好地缓解TKA患者术后的疼痛,延长镇痛的时间,而且易于被患者接受,能够提高患者早期功能锻炼依从性,有利于患者膝关节功能的恢复。Objective To explore the pains and the early effects of the femoral nerve combined with sciatic nerve block on the patients with total knee arthroplasty（TKA）and prepare for its clinical application. Methods The TKA patients were treated with the femoral nerve combined with sciatic nerve block in three time points, and the pains and the early knee condition were observed to identify the early effects of the femoral nerve combined with sciatic nerve block on the patients with TKA. Results TKA patients receiving femoral nerve combined with sciatic nerve block in three time points complain less for the pains and show higher function training levels without noticeable adverse reactions. Conclusion The femoral nerve combined with sciatic nerve block can notably reduce the pains of the TKA patients and prolong the analgesic effect. It is more easily to be accepted by the patients, which increases the early function training compliance and favors the knee rehabilitation.

关 键 词：全膝关节置换术 股神经联合坐骨神经阻滞 疼痛 

分 类 号：R614[医药卫生—麻醉学]