CAJ | 학술논문

观察浸润注射局麻药联合口服非甾体抗炎药( NSAIDs)治疗全膝关节置换( TKA)术后疼痛的疗效。50例行TKA患者随机分为2组。研究组术中膝关节浸润注射罗哌卡因加围手术期口服塞来昔布；对照组应用静脉镇痛泵。研究组术后3 d 的 VAS 评分(4.2±0.6,4.6±0.8,4.6±1.1)较对照组(6.5±0.7,6.4±1.0,6.1±0.9)低,差异有统计学意义(P<0.05)；研究组吗啡补救量(10.6±7.7) mg较对照组(18.4±10.3) mg 少,差异有统计学意义( P <0.05)。浸润注射罗哌卡因联合口服塞来昔布可有效缓解TKA术后疼痛,优于静脉镇痛泵。
관찰침윤주사국마약연합구복비치체항염약( NSAIDs)치료전슬관절치환( TKA)술후동통적료효。50례행TKA환자수궤분위2조。연구조술중슬관절침윤주사라고잡인가위수술기구복새래석포；대조조응용정맥진통빙。연구조술후3 d 적 VAS 평분(4.2±0.6,4.6±0.8,4.6±1.1)교대조조(6.5±0.7,6.4±1.0,6.1±0.9)저,차이유통계학의의(P<0.05)；연구조마배보구량(10.6±7.7) mg교대조조(18.4±10.3) mg 소,차이유통계학의의( P <0.05)。침윤주사라고잡인연합구복새래석포가유효완해TKA술후동통,우우정맥진통빙。
To observe the efficacy of infiltrating injection of local anesthetic and oral NSAIDs for postoperative pain of total knee arthroplasty(TKA). 50 patients undergoing TKA were randomly assigned to two groups. The study group received intraoperative infiltrating injection of ropivacaine around knee and perioperative oral celecoxib. The control group received intravenous analgesia pump. The VAS scores in postoperative 3 days of the study group (4.2±0.6 ,4.6±0.8 ,4.6±1.1 ) were lower than the control group ( 6.5 ±0.7 ,6.4 ±1.0 ,6.1 ±0.9 ) . The differ-ence was statistically significant(P<0.05),and the dose of remedial morphine of the study group (10.6±7.7)mg was less than the control group (18.4±10.3) mg. The difference was statistically significant(P<0.05). Infiltra-ting injection of ropivacaine and oral celecoxib could effectively relieve postoperative pain of TKA which was better than intravenous analgesia pump.