CAJ | 학술논문

目的：观察利多卡因关节内注射用于关节镜手术后的镇痛效果。方法选择硬膜外-腰麻联合麻醉下行单侧关节镜手术的患者70例，随机分为两组（ A组和B组），每组35例。 A 组关节镜手术后关节腔内注射利多卡因；B 组关节镜手术后关节内注射等量生理盐水。术后行视觉模拟评分（ VAS），观察两组患者的镇痛效果。结果术后1-8 h关节腔内注射利多卡因组（ A组）的VAS评分均显著低于生理盐水组（ B组）差异有统计学意义（ P＜0．05），但12h之后差异无统计学意义。两组患者术后均未见明显不良反应。结论利多卡因关节内注射可有效缓解关节镜手术后的疼痛。
목적：관찰리다잡인관절내주사용우관절경수술후적진통효과。방법선택경막외-요마연합마취하행단측관절경수술적환자70례，수궤분위량조（ A조화B조），매조35례。 A 조관절경수술후관절강내주사리다잡인；B 조관절경수술후관절내주사등량생리염수。술후행시각모의평분（ VAS），관찰량조환자적진통효과。결과술후1-8 h관절강내주사리다잡인조（ A조）적VAS평분균현저저우생리염수조（ B조）차이유통계학의의（ P＜0．05），단12h지후차이무통계학의의。량조환자술후균미견명현불량반응。결론리다잡인관절내주사가유효완해관절경수술후적동통。
Objective To evaluate the analgesic effect of intra-articular injection with lidocaine after arthroscopy .Method Seventy patients receiving selective ar-throscopy under spinal combined with epidural anesthesia were randomized into two groups of 35 patients.The patients in group A were received intra-articular lidocaine injection after the operation;in group B received intra-articular equal normal saline injection.The visual-analog scale(VAS)of two groups was recorded.Result VAS in group A was significantly lower than that in group B during 1-12 hours after the operation(P<0.05);And there difference was no signi? cant after 12 hours of the operation(P>0.05).Conclusion Lidocaine intra-articular injection after arthroscopy can relieve the pain effectively.