不同干预方式对膝关节置换术后疼痛的研究进展  

Progress in the Study of Different Interventions for Postoperative Pain after Knee Arthroplasty

作　　者：李庆军 刘秀栋 姚乾宁 侯军虎 刘凯[1] 卜天生 李宁[1,2] LI Qing-jun;LIU Xiu-dong;YAO Qian-ning;HOU Jun-hu;Liu Kai;BU Tian-sheng;LI Ning(Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China;The Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃中医药大学附属医院,甘肃兰州730000

出　　处：《云南中医中药杂志》2025年第3期91-94,共4页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：国家自然科学基金面上项目(8217152140);国家自然科学基金地区项目(8206150202);甘肃省自然科学基金(20JR10RA326);兰州市人才创新创业项(2021-RC-89);兰州市城关区科技计划项目(2020SHFZ0035);甘中附院院内创新基金项目(gzfy-2019-08);甘肃省科技厅青年基金项目(21JR7RA585);2023年兰州市第四批科技计划(2023-4-48).

摘　　要：膝关节置换术是目前治疗各种终末期骨关节炎最佳选择,尽管膝关节置换手术技术已经非常成熟,但是术后患者多有不同程度的疼痛,疼痛严重影响着患者术后康复、生活质量和满意度。早期关于术后疼痛重点关注于术后疼痛原因分析和疼痛处理策略;其中多模式镇痛被认为是术后缓解疼痛最佳方案,然而,这些方法的效果并不总是理想,特别是在一些高风险患者中。从快速康复理念、祖国医学、睡眠质量管理对膝关节置换术后疼痛的影响进行综述,以探究关节置换术后控制疼痛的最佳选择方案并展望未来的研究方向。Knee arthroplasty is currently the best option for treating various end-stage osteoarthritis.Despite the maturity of surgical techniques,postoperative pain remains different levels of pain,severely affecting rehabilitation,quality of life and satisfaction of patients.Early research on postoperative pain focused on analyzing its causes and pain management strategies,with multimodal analgesia being considered the best approach.However,the results are not always ideal,particularly in high-risk patients.This review explores the impact of rapid recovery,traditional Chinese medicine and sleep quality management on postoperative pain after knee arthroplasty to identify the optimal pain control strategy and future research directions.

关 键 词：关节置换 快速康复 祖国医学 睡眠质量 

分 类 号：R274[医药卫生—中医骨伤科学]