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基于自适应算法的 CT 图像引导电针联合连续股神经阻滞对全膝关节置换术后深静脉血栓形成的预防作用。

The Preventive Effect of Computed Tomography Image-Guided Electroacupuncture Combined with Continuous Femoral Nerve Block on Deep Vein Thrombosis After Total Knee Arthroplasty Based on an Adaptive Algorithm.

机构信息

Department of Radiology, The Fourth Hospital of Wuhan, Wuhan City, China.

Department of Urology, The First Hospital of Wuhan, Wuhan City, China.

出版信息

World Neurosurg. 2021 May;149:362-371. doi: 10.1016/j.wneu.2020.10.159. Epub 2020 Nov 26.

DOI:10.1016/j.wneu.2020.10.159
PMID:33248303
Abstract

Based on an adaptive algorithm model, this study proposed 2 special model structures of randomized fusion and an optimized convolution kernel and use it for image recognition. The adaptive algorithm model combined image-guided electroacupuncture with a continuous femoral nerve block to prevent deep vein thrombosis after total knee arthroplasty. A total of 200 patients after total knee arthroplasty were randomly divided into 4 groups. We assessed the incidence of postoperative lower limb deep vein thrombosis and platelet count before and after surgery. Electroacupuncture combined with continuous femoral nerve block can reduce the incidence of deep vein thrombosis and has obvious advantages in multimode prevention. The effective analgesia provided by electroacupuncture combined with continuous femoral nerve block relieved postoperative pain. It also enabled patients to participate in joint movement and lower limb muscle strength training as soon as possible, which not only is conducive to postoperative functional recovery, but also reduces the body stress response triggered by pain and the hypercoagulable state. Moreover, electroacupuncture stimulation of electroacupuncture points can reduce the inflammatory edema associated with surgery, improve blood circulation at the surgical site, and activate the body's anticoagulation mechanism. This study provides new ideas and references for formulating multimode prevention and control strategies.

摘要

基于自适应算法模型,本研究提出了 2 种随机融合的特殊模型结构和优化的卷积核,并将其用于图像识别。自适应算法模型将图像引导电针与连续股神经阻滞相结合,用于预防全膝关节置换术后深静脉血栓形成。共有 200 例全膝关节置换术后患者随机分为 4 组。我们评估了术后下肢深静脉血栓形成的发生率和手术前后的血小板计数。电针结合连续股神经阻滞可降低深静脉血栓形成的发生率,在多模式预防方面具有明显优势。电针结合连续股神经阻滞提供的有效镇痛缓解了术后疼痛。它还使患者能够尽快参与关节运动和下肢肌肉力量训练,这不仅有利于术后功能恢复,而且还降低了疼痛引发的机体应激反应和高凝状态。此外,电针穴位刺激可以减轻与手术相关的炎症性水肿,改善手术部位的血液循环,并激活机体的抗凝机制。本研究为制定多模式防控策略提供了新的思路和参考。

相似文献

1
The Preventive Effect of Computed Tomography Image-Guided Electroacupuncture Combined with Continuous Femoral Nerve Block on Deep Vein Thrombosis After Total Knee Arthroplasty Based on an Adaptive Algorithm.基于自适应算法的 CT 图像引导电针联合连续股神经阻滞对全膝关节置换术后深静脉血栓形成的预防作用。
World Neurosurg. 2021 May;149:362-371. doi: 10.1016/j.wneu.2020.10.159. Epub 2020 Nov 26.
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Slightly better pain relief but more frequently motor blockade with combined nerve block analgesia compared to continuous intraarticular analgesia after total knee arthroplasty.与全膝关节置换术后连续关节内镇痛相比,联合神经阻滞镇痛可略微更好地缓解疼痛,但更频繁地出现运动阻滞。
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[Femoral nerve block for total knee arthroplasty].[全膝关节置换术的股神经阻滞]
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[Comparision for clinical efficiency of continuous adductor canal block and femoral nerve block in total knee arthroplasty].[全膝关节置换术中连续收肌管阻滞与股神经阻滞的临床疗效比较]
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引用本文的文献

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Effect of electroacupuncture stimulation combined with the enhanced recovery after surgery regimen on motor function recovery following total knee arthroplasty.电针刺激联合术后加速康复方案对全膝关节置换术后运动功能恢复的影响。
J Neuroeng Rehabil. 2025 Jul 16;22(1):165. doi: 10.1186/s12984-025-01693-x.
2
Novel lumbar plexus block versus femoral nerve block for analgesia and motor recovery after total knee arthroplasty.全膝关节置换术后新型腰丛阻滞与股神经阻滞用于镇痛和运动恢复的比较
Open Med (Wars). 2024 Jan 12;19(1):20230881. doi: 10.1515/med-2023-0881. eCollection 2024.