国际老年医学杂志2024,Vol.45Issue(3) :365-368.DOI:10.3969/j.issn.1674-7593.2024.03.022

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

唐子一 康立恒 张承启 秦云植
国际老年医学杂志2024,Vol.45Issue(3) :365-368.DOI:10.3969/j.issn.1674-7593.2024.03.022

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

唐子一 1康立恒 2张承启 3秦云植4
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作者信息

  • 1. 延边大学附属医院麻醉科,延吉 133000;第九六四医院骨科,长春 130062
  • 2. 吉林大学第一医院麻醉科,长春 130062
  • 3. 第九六四医院骨科,长春 130062
  • 4. 延边大学附属医院麻醉科,延吉 133000
  • 折叠

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、胭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.

Abstract

China is experiencing a demographic shift towards an older population.As a result,the prevalence of osteoar-thritis 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 ortho-pedic diseases frequently encounters the challenge of postoperative pain in patients.This paper examines the concept of regional anal-gesia 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/胭动脉与关节囊后间隙阻滞/术后镇痛

Key words

Total knee arthroplasty/Regional analgesia/Adductor canal block/Popliteal artery and posterior joint cap-sule gap block/Postoperative pain relief

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出版年

2024
国际老年医学杂志
吉林大学

国际老年医学杂志

CSTPCD
影响因子:0.435
ISSN:1674-7593
参考文献量23
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