髋关节和膝关节置换术中的镇痛技术：从日常实践到循证医学
Analgesic techniques in hip and knee arthroplasty: from the daily practice to evidence-based medicine.
作者信息
Anastase Denisa Madalina, Cionac Florescu Simona, Munteanu Ana Maria, Ursu Traian, Stoica Cristian Ioan
机构信息
Department of Anesthesiology, Clinical Hospital of Orthopedy Foisor, Bulevardul Ferdinand, No. 35-37, 021382 Bucharest, Romania.
Department of Orthopedics, Foisor Clinical Orthopedics Hospital and "Carol Davila" University of Medicine and Pharmacy, 020022 Bucharest, Romania.
出版信息
Anesthesiol Res Pract. 2014;2014:569319. doi: 10.1155/2014/569319. Epub 2014 Nov 17.
Abstract
Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are major orthopedic surgery models, addressing mainly ageing populations with multiple comorbidities and treatments, ASA II-IV, which may complicate the perioperative period. Therefore effective management of postoperative pain should allow rapid mobilization of the patient with shortening of hospitalization and social reintegration. In our review we propose an evaluation of the main analgesics models used today in the postoperative period. Their comparative analysis shows the benefits and side effects of each of these methods and guides us to how to use evidence-based medicine in our daily practice.
摘要
全髋关节置换术（THA）和全膝关节置换术（TKA）是主要的骨科手术方式，主要针对患有多种合并症且接受多种治疗、美国麻醉医师协会（ASA）分级为II-IV级的老年人群，这可能会使围手术期复杂化。因此，有效的术后疼痛管理应能使患者迅速活动，缩短住院时间并重新融入社会。在我们的综述中，我们对目前术后使用的主要镇痛模式进行了评估。它们的对比分析显示了每种方法的益处和副作用，并指导我们如何在日常实践中运用循证医学。
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