骨性关节病全膝关节置换术后区域镇痛的研究进展  

Monitoring the Efficacy of Regional Analgesia following Total Knee Arthroplasty under General Anesthesia for Painful Osteoarthritis

作　　者：唐子一 康立恒 张承启 秦云植 Tang Ziyi;Kang Liheng;Zhang Chengqi;Qin Yunzhi(Department of Anesthesiology,Yanbian University Hospital,Yanji 133000;Department of Orthopaedics,the 964th Hospital,Changchun 130062;Department of Anesthesiology,the First Hospital of Jilin University,Changchun 130062)

机构地区：[1]延边大学附属医院麻醉科,延吉133000 [2]第九六四医院骨科,长春130062 [3]吉林大学第一医院麻醉科,长春130062

出　　处：《国际老年医学杂志》2024年第3期365-368,共4页International Journal of Geriatrics

摘　　要：中国已进入老龄化社会,以慢性膝关节软骨病变为特征的膝关节骨性关节炎也逐年增加,终末期的膝关节病通常采用全膝关节置换术进行治疗。术后患者的疼痛问题,一直是关节骨病科的常见困难。本文从区域镇痛理念出发,对硬膜外阻滞、股神经及坐骨神经阻滞、收肌管阻滞、腘动脉与关节囊后间隙阻滞的相关机理作一综述,以探究神经阻滞对术后镇痛的影响,为改善全膝关节置换术后的患者疼痛提供镇痛选择。China is experiencing a demographic shift towards an older population.As a result,the prevalence of osteoarthritis of the knee,which is defined by long-term damage to the knee's cartilage,is also rising steadily.In cases where the knee joint disease has reached an advanced stage,the conventional treatment is total knee arthroplasty.The department of joint and orthopedic diseases frequently encounters the challenge of postoperative pain in patients.This paper examines the concept of regional analgesia and reviews the mechanisms involved in various types of nerve blocks,such as epidural block,femoral and sciatic nerve block,adductor canal block,and popliteal artery and posterior joint capsule gap block.The objective is to investigate the impact of nerve blocks on postoperative pain relief and ultimately enhance the analgesic effect for patients undergoing total knee arthroplasty.

关 键 词：全膝关节置换术 区域镇痛 收肌管阻滞 腘动脉与关节囊后间隙阻滞 术后镇痛 

分 类 号：R614[医药卫生—麻醉学]