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全髋关节置换术中的围手术期疼痛管理:韩国髋关节协会指南

Perioperative Pain Management in Total Hip Arthroplasty: Korean Hip Society Guidelines.

作者信息

Min Byung-Woo, Kim Yeesuk, Cho Hong-Man, Park Kyung-Soon, Yoon Pil Whan, Nho Jae-Hwi, Kim Sang-Min, Lee Kyung-Jae, Moon Kyong-Ho

机构信息

Department of Orthopaedic Surgery, Keimyung University Hospital, Daegu, Korea.

Department of Orthopaedic Surgery, Hanyang University Hospital, Seoul, Korea.

出版信息

Hip Pelvis. 2016 Mar;28(1):15-23. doi: 10.5371/hp.2016.28.1.15. Epub 2016 Mar 31.

Abstract

Effective perioperative pain management techniques and accelerated rehabilitation programs can improve health-related quality of life and functional status of patients after total hip arthroplasty. Traditionally, postoperative analgesia following arthroplasty was provided by intravenous patient-controlled analgesia or epidural analgesia. Recently, peripheral nerve blockade has emerged alternative analgesic approach. Multimodal analgesia strategy combines analgesics with different mechanisms of action to improve pain management. Intraoperative periarticular injection of multimodal drugs is one of the most important procedures in perioperative pain control for total hip arthroplasty. The goal of this review article is to provide a concise overview of the principles of multimodal pain management regimens as a practical guide for the perioperative pain management for total hip arthroplasty.

摘要

有效的围手术期疼痛管理技术和加速康复计划可以改善全髋关节置换术后患者的健康相关生活质量和功能状态。传统上,关节置换术后的术后镇痛是通过静脉自控镇痛或硬膜外镇痛来实现的。最近,外周神经阻滞已成为一种替代镇痛方法。多模式镇痛策略将具有不同作用机制的镇痛药联合使用,以改善疼痛管理。术中关节周围注射多模式药物是全髋关节置换术围手术期疼痛控制最重要的程序之一。这篇综述文章的目的是简要概述多模式疼痛管理方案的原则,作为全髋关节置换术围手术期疼痛管理的实用指南。

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