Parvataneni Hari K, Shah Vineet P, Howard Holly, Cole Naida, Ranawat Amar S, Ranawat Chitranjan S
Massachusetts General Hospital, Boston, Massachusetts, USA.
J Arthroplasty. 2007 Sep;22(6 Suppl 2):33-8. doi: 10.1016/j.arth.2007.03.034. Epub 2007 Jul 26.
In this prospective randomized study, patients undergoing total hip (THA) or knee arthroplasty (TKA) were randomized to either a study group receiving periarticular injections or a control group receiving patient-controlled analgesia with or without femoral nerve block (TKA patients). All patients received a comprehensive multimodal perioperative protocol. Pain, recovery of functional milestones, and overall satisfaction were assessed. The THA study group demonstrated significantly lower average pain scores and higher overall satisfaction than the control group. There was no significant difference in pain scores between the study and control groups in the TKA cohort. Both study groups demonstrated lower narcotic usage and side effects as well as improved early functional recovery. Periarticular injection with a multimodal protocol was shown to safely provide excellent pain control and functional recovery and can be substituted for conventional pain control modalities.
在这项前瞻性随机研究中，接受全髋关节置换术（THA）或膝关节置换术（TKA）的患者被随机分为接受关节周围注射的研究组或接受患者自控镇痛（TKA患者可选择是否进行股神经阻滞）的对照组。所有患者均接受全面的多模式围手术期方案。评估疼痛、功能里程碑的恢复情况和总体满意度。THA研究组的平均疼痛评分显著低于对照组，总体满意度更高。TKA队列中，研究组和对照组的疼痛评分无显著差异。两个研究组的麻醉药物使用量和副作用均较低，早期功能恢复也有所改善。多模式方案的关节周围注射被证明能安全地提供出色的疼痛控制和功能恢复，可替代传统的疼痛控制方式。
