Department of Trauma and Orthopaedics, Midwestern Regional and Croom Orthopaedic Hospital, Limerick, Ireland.
Department of Anaesthesia, Midwestern Regional and Croom Orthopaedic Hospital, Limerick, Ireland.
J Arthroplasty. 2014 Feb;29(2):393-6. doi: 10.1016/j.arth.2013.06.028. Epub 2013 Aug 9.
Total hip arthroplasty is associated with significant postoperative pain. A psoas compartment block is superior to other regional techniques in analgesia post THA. However, traditional methods of delivery are associated with serious complications. We present a technique of a surgeon delivered lumbar plexus block through injection at the portion of the iliopsoas seen intraoperatively. We randomised fifty-three consecutive patients into two groups. The group that received the block had an increased period prior to requesting supplementary analgesia and lower overall pain scores. There were no adverse effects. We have demonstrated the analgesic efficacy of Psoas Compartment Block performed during surgical access for total hip arthroplasty. This technique should be considered in the analgesic regimen for total hip arthroplasty.
全髋关节置换术后会出现明显的疼痛。腰大肌间隙阻滞在全髋关节置换术后的镇痛效果优于其他区域阻滞技术。然而，传统的给药方法会引起严重的并发症。我们介绍一种通过术中所见的腰大肌部位注射来实施的外科医生施行的腰丛神经阻滞技术。我们将 53 例连续患者随机分为两组。接受阻滞的组在要求辅助镇痛之前的时间延长，且整体疼痛评分较低。没有不良反应。我们已经证明了在全髋关节置换手术过程中进行腰大肌间隙阻滞的镇痛效果。该技术应在全髋关节置换术的镇痛方案中考虑。
