Department of Anesthesia and Pain Management, Akron Children's Hospital, Akron, OH 44308, USA.
J Clin Anesth. 2010 Jun;22(4):256-9. doi: 10.1016/j.jclinane.2009.08.006.
To compare the femoral nerve block with the fascia iliaca block for postoperative analgesia in adolescents undergoing reconstructive knee surgery.
Randomized, single-blinded study.
Full-service pediatric medical center.
23 ASA physical status I and II patients, aged 8 to 16 years, undergoing anterior cruciate ligament (ACL) repair.
Patients received either fascia iliaca or femoral nerve block prior to reconstructive surgery.
Pain scores by visual analog scale (VAS; 0-10) and morphine use were routinely recorded through to discharge from the hospital. Pain scores were assessed on days 1 and 2 at home post-discharge.
There was no difference between the femoral nerve block and the fascia iliaca nerve block in VAS pain scores or postoperative morphine consumption.
Either the femoral nerve block or the fascia iliaca block, followed by patient-controlled analgesia with morphine, provides efficacious analgesia for adolescents undergoing ACL reconstruction.
比较股神经阻滞与髂筋膜阻滞在青少年行膝关节重建术后的镇痛效果。
随机、单盲研究。
全方位服务的儿科医疗中心。
23 名 ASA 体格状况 I 级和 II 级、年龄 8 至 16 岁的患者，行前交叉韧带（ACL）修复术。
患者在重建手术前接受髂筋膜或股神经阻滞。
通过视觉模拟评分（VAS；0-10）和吗啡使用常规记录疼痛评分，并在出院后在家中第 1 和第 2 天进行评估。
股神经阻滞与髂筋膜神经阻滞在 VAS 疼痛评分或术后吗啡消耗量方面无差异。
行 ACL 重建的青少年患者，在接受股神经阻滞或髂筋膜阻滞之后，使用吗啡自控镇痛，均可提供有效的镇痛效果。
