遵义医科大学学报2024,Vol.47Issue(2) :201-210.

全髋关节置换术后镇痛与快速康复的研究进展

Research progress in analgesia after total hip arthroplasty

肖行 张宏伟
遵义医科大学学报2024,Vol.47Issue(2) :201-210.

全髋关节置换术后镇痛与快速康复的研究进展

Research progress in analgesia after total hip arthroplasty

肖行 1张宏伟2
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作者信息

  • 1. 成都市武侯区人民医院麻醉科,四川成都 610041
  • 2. 四川省肿瘤医院麻醉科,四川成都 610041
  • 折叠

摘要

随着老龄化社会的到来,以及外科麻醉领域的进步,全髋关节置换术(THA)这种治疗终末期髋关节疾病的手术开展得越来越多,其疗效显著,可以有效地提高患者的生活质量.然而,大多数THA患者术后承受着中到重度的疼痛,不利于患者术后进行功能锻炼,甚至发展为慢性疼痛,严重影响患者的康复.目前的镇痛方法包括椎管内镇痛、区域神经阻滞、局部浸润镇痛以及口服或静脉注入镇痛药物等.近年来,在超声可视化工具的辅助下,区域麻醉技术取得了很大进步.本文对THA目前采用的镇痛方式与快速康复相关指标作一综述,旨在进一步探索最佳的镇痛方案以促进医疗质量提升.

Abstract

With the advent of the aging society and the progress in the field of surgical anesthesia,total hip ar-throplasty(THA),a kind of surgery for end-stage hip diseases,has been carried out more and more frequently due to its remarkable efficacy.Now it has been proved to effectively improve the quality of life for patients.How-ever,most THA patients suffer from moderate to severe pain,which is not conducive to patients'functional exer-cise after surgery,and some even develop into chronic pain,which seriously affects patients'rehabilitation.Current analgesia methods include regional nerve blocks,intraspinal analgesia,local infiltration analgesia and o-ral or intravenous injection of analgesics.In recent years,with the aid of ultrasound visualization tools,regional anesthesia technology has made great progress.This paper reviews the current analgesic methods and related indi-cators of rapid rehabilitation in THA,in order to further explore the best analgesic scheme to promote the im-provement of medical quality.

关键词

全髋关节置换术/术后镇痛/镇痛方法

Key words

total hip arthroplasty/postoperative analgesia/analgesic methods

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基金项目

四川省科技重点研发计划(2020YFS0417)

出版年

2024
遵义医科大学学报
遵义医科大学

遵义医科大学学报

CSTPCD
ISSN:2096-8159
参考文献量58
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