Effects of Cocktail Analgesic Therapy on Postoperative Analgesia and Joint Function in Anterior Cruciate Ligament Reconstruction Surgery
Objective To evaluate the effects of cocktail analgesic therapy on postoperative analgesia and joint function in anterior cruciate ligament reconstruction surgery.Methods Totally,113 patients were collected and randomly divided into control group and cocktail group.The patients in control group were subjected to periarticular and intra-articular injection of 10 mL of 75％ropivacaine and 0.9％sodium chloride before suturing incision while the cocktail group received an intraoperative periarticular and intra-articular cocktail injection.Postoperative pain was recorded using the numerical rating scale(NRS)and the knee function was evaluated by Lysholm scores during postoperative follow-up.Results Both groups ultimately had 50 participants each.The total drainage volume of the cocktail group was(54.40±20.11)mL,which was lower than in the control group[(74.40±18.53)mL].On the 1st and 3rd day after surgery,the NRS scores were(1.74± 0.69)and(1.16±0.37)in the cocktail group,respectively,which were significantly lower than those in the control group;The Lysholm score of the knee joint in the cocktail group was 87.44±2.34,which was higher than in the control group(83.72±2.58);The above differences were statistically significant(P＜0.05).However,there was no statistically significant difference in the Lysholm scores of the knee joint between the two groups at 6th month after surgery(P＞0.05).Conclusion The use of intraoperative periarticular and intra-articular cocktail injection in anterior cruciate ligament reconstruction can effectively alleviate postoperative pain and provide better early rehabilitation.
ArthroscopyAnterior cruciate ligamentPainCocktail injectionKnee joint function
万方数据
维普
