CAJ | 학술논문

目的研究全膝关节置换术后关节周围注射罗哌卡因结合PCA泵的镇痛效果.方法选取择期行全膝关节置换手术患者90例,随机分为3组,每组30例(n=30),第一组(A组)术后包括膝关节后关节囊和前侧切口周围组织浸润注射罗哌卡因,结合静脉PCA泵镇痛;第二组(B组)术后仅在前侧切口周围组织浸润注射罗哌卡因,而不注射后关节囊,结合静脉PCA泵镇痛.第三组(C组)术后仅采用静脉PCA泵镇痛.分别在术后2、12、24、48、72小时,以视觉模拟量表(visual analogue scale, VAS)评估患者术后的疼痛水平.结果术后2、12、24、48、72小时A、B、C组评分分别为2.0,2.1,4.9;2.7,2.6,5.5;3.5,3.4,4.6;2.4,2.5,3.8;1.4,1.4,2.8.A组和B组评分差异无统计学意义(>0.05),A组和B组评分较C组差异有统计学意义(<0.05).结论全膝关节置换术后应用罗哌卡因和静脉PCA泵能够有效缓解疼痛,后关节囊可不注射,镇痛效果优于单用PCA泵.
목적연구전슬관절치환술후관절주위주사라고잡인결합PCA빙적진통효과.방법선취택기행전슬관절치환수술환자90례,수궤분위3조,매조30례(n=30),제일조(A조)술후포괄슬관절후관절낭화전측절구주위조직침윤주사라고잡인,결합정맥PCA빙진통;제이조(B조)술후부재전측절구주위조직침윤주사라고잡인,이불주사후관절낭,결합정맥PCA빙진통.제삼조(C조)술후부채용정맥PCA빙진통.분별재술후2、12、24、48、72소시,이시각모의량표(visual analogue scale, VAS)평고환자술후적동통수평.결과술후2、12、24、48、72소시A、B、C조평분분별위2.0,2.1,4.9;2.7,2.6,5.5;3.5,3.4,4.6;2.4,2.5,3.8;1.4,1.4,2.8.A조화B조평분차이무통계학의의(>0.05),A조화B조평분교C조차이유통계학의의(<0.05).결론전슬관절치환술후응용라고잡인화정맥PCA빙능구유효완해동통,후관절낭가불주사,진통효과우우단용PCA빙.
@@@@Objective To observe the analgesic effects of postoperative periarticular injection and PCA pump after total knee arthroplasty. Methods 90 patients were randomize to three groups. The patients in group A (n=30) receive per-iarticular injection and Venous PCA pump include the posterior capsule. The patients in group B (n=30) receive periar-ticular injection and Venous PCA pump exclude the posterior capsule. The patients in group C (n=30) receive Venous PCA pump only. Analgesic efficiency was evaluated by visual analogue scale (VAS) 2,8,24,48,72 hours after the Operation. Results There was no statistical difference in VAS among group A and group B. VAS were lower in the groups A and B than in group C ( <0.05). Conclusion After 2,12,24,48,72 hours of A, B, C group was respectively 2.0,2.1,4.9; 2.7,2.6,5.5; 3.5,3.4,4.6; 2.4,2.5,3.8; 1.4,1.4,2.8. Postoperative periarticular injection and PCA pump may provide postoperative analgesia effectively. It can provide superior postoperative analgesia vesus PCA pump.