CAJ | 학술논문

背景术后镇痛治疗是全膝关节置换术(total knee arthroplasty,TKA)后的基本辅助措施,直接关系到手术效果和术后膝关节功能的恢复.目的综述国内外关于TKA镇痛治疗的研究进展.内容 TKA的镇痛疗法各有优缺点,新型镇痛药物及技术的应用使镇痛方案选择更加多元化,镇痛方式及药物的选择也更加注重利于患者术后膝关节功能的康复及个体化感受.趋向以局部浸润镇痛(local infiltration analgesia,LIA)治疗为代表的多模式镇痛(multimodal analgesia,MMA)是近年来国内外提出并研究较多的新的镇痛治疗方式,通过已有的研究已经证实MMA的积极治疗作用,但如何制定个体化的MMA方案仍然是临床面临的重要问题之一.
배경 술후진통치료시전슬관절치환술(total knee arthroplasty,TKA)후적기본보조조시,직접관계도수술효과화술후슬관절공능적회복.목적 종술국내외관우TKA진통치료적연구진전.내용 TKA적진통요법각유우결점,신형진통약물급기술적응용사진통방안선택경가다원화,진통방식급약물적선택야경가주중리우환자술후슬관절공능적강복급개체화감수.추향 이국부침윤진통(local infiltration analgesia,LIA)치료위대표적다모식진통(multimodal analgesia,MMA)시근년래국내외제출병연구교다적신적진통치료방식,통과이유적연구이경증실MMA적적겁치료작용,단여하제정개체화적MMA방안잉연시림상면림적중요문제지일.
Background Postoperative analgesia is the basic auxiliary measures of total knee arthroplasty (TKA),which is directly related to the result of surgery and the recovery of knee function.Objective To summarize the research progress of analgesia after knee arthroplasty at home and abroad.Content The analgesic therapy of TKA has its advantages and disadvantages.The application of new analgesic drugs and technologies makes analgesia more diversity,and now the choice of analgesic drugs and methods focuses more on postoperative knee function recovery and individual experiences.Trend Multimodal analgesia(MMA),which is represented by local infiltration analgesia(LIA),has been put forward and studied at home and abroad in recent years.A number of studies have confirmed the effect of MMA,but how to develop individualized MMA is still one of important problems in clinic.