Brisbane Orthopedic and Sports Medicine Center, Brisbane Private Hospital, Brisbane, QLD, Australia.
J Arthroplasty. 2010 Dec;25(8):1246-9. doi: 10.1016/j.arth.2009.11.018. Epub 2010 Feb 23.
Femoral nerve block (FNB) is an accepted mode of analgesia for lower limb procedures but has a documented complication rate. This study compared femoral nerve and fascia iliaca regional anesthesia for total knee arthroplasty (TKA), using fentanyl consumption as the primary outcome measure. Ninety-eight primary unilateral TKA patients were blinded and randomized into fascia iliaca block (FIB) (n = 51) or FNB (n = 47) groups. No significant differences were found in analgesia use (fentanyl and tramadol) at 12 and 36 hours in pain, nausea and range of motion between the groups. There was one case of paresthesia in the femoral nerve in the FNB group. Fascia iliaca block is as effective as FNB as part of a multimodal anesthetic regimen for TKA.
股神经阻滞（FNB）是一种被认可的下肢手术镇痛方式，但也有记录在案的并发症发生率。本研究比较了股神经和髂筋膜区域阻滞用于全膝关节置换术（TKA），以芬太尼消耗为主要观察指标。98 例单侧初次 TKA 患者采用盲法随机分为髂筋膜阻滞（FIB）组（n=51）或 FNB 组（n=47）。两组在 12 小时和 36 小时的疼痛、恶心和运动范围方面，芬太尼和曲马多的镇痛使用（无显著差异。在 FNB 组中有一例股神经感觉异常。髂筋膜阻滞与 FNB 一样，作为 TKA 多模式麻醉方案的一部分是有效的。
