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全关节置换术中的区域麻醉:证据有哪些?

Regional Anesthesia in Total Joint Arthroplasty: What Is the Evidence?

作者信息

Elmofty Dalia H, Buvanendran Asokumar

机构信息

Department of Anesthesia & Critical Care, The University of Chicago, Chicago, Illinois.

Department of Anesthesia & Critical Care, Rush University Medical Center, Chicago, Illinois.

出版信息

J Arthroplasty. 2017 Sep;32(9S):S74-S76. doi: 10.1016/j.arth.2017.05.017. Epub 2017 May 18.

Abstract

Total joint arthroplasty is one of the most common surgical procedures performed for end-stage osteoarthritis. The increasing demand for knee and hip arthroplasties along with the improvement in life expectancy has created a substantial medical and economic impact on the society. Effective planning of health care for these individuals is vital. The best method for providing anesthesia and analgesia for total joint arthroplasty has not been defined. Yet, emerging evidence suggests that the type of anesthesia can affect morbidity and mortality of patients undergoing these procedures.

摘要

全关节置换术是终末期骨关节炎最常见的外科手术之一。膝关节和髋关节置换术需求的不断增加以及预期寿命的提高,对社会产生了重大的医疗和经济影响。为这些患者进行有效的医疗保健规划至关重要。目前尚未确定全关节置换术提供麻醉和镇痛的最佳方法。然而,新出现的证据表明,麻醉类型会影响接受这些手术患者的发病率和死亡率。

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