Bourne M H, Johnson K A
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Foot Ankle. 1988 Jun;8(6):350-1. doi: 10.1177/107110078800800612.
Effective pain control following surgery is a concern. Oral narcotic agents may be effective yet have many side effects. Parenteral agents are impractical in outpatient procedures. Local blocks may distort tissue planes and require additional time and technical skill to administer. We have found that instillation of local anesthetic (0.5% bupivacaine [Marcaine, Sensorcaine]) into the wound prior to closure is a safe and effective means of providing significant reduction in postoperative foot pain.
术后有效的疼痛控制是一个令人关注的问题。口服麻醉剂可能有效，但有许多副作用。胃肠外给药在门诊手术中不实用。局部阻滞可能会使组织层面变形，且给药需要额外的时间和技术技巧。我们发现，在伤口闭合前向伤口内注入局部麻醉剂（0.5%布比卡因[耐乐品、昔罗卡因]）是一种安全有效的方法，可显著减轻术后足部疼痛。
