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膝关节置换术后光疗对术后疼痛影响的初步研究。

Pilot study of the effect of therapeutic photobiomodulation on postoperative pain in knee arthroplasty.

机构信息

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Instituto de Ortopedia e Traumatologia, Grupo de Doenças Osteometabólicas, São Paulo, SP, Brazil.

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

出版信息

Braz J Anesthesiol. 2022 Jan-Feb;72(1):159-161. doi: 10.1016/j.bjane.2021.07.040. Epub 2021 Nov 17.

DOI:10.1016/j.bjane.2021.07.040
PMID:34800495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9373348/
Abstract

Nine participants undergoing primary TKA submitted to spinal anesthesia, sedation, ultrasound-guided obturator and Femoral nerve Block analgesia, and photobiomodulation Therapy (FBMT) were evaluated regarding postoperative pain and morphine consumption. FBMT sessions were performed in the Immediate Postoperative period (IPO) and after 24 hours. Participants received 16.7±15 mg of morphine up to the third postoperative day. At IPO, mean pain score was 4.8±3.2 and 5.6±3.5, at rest and on movement, respectively. Photo biomodulation therapy can be considered an option for mitigating pain for patients undergoing TKA.

摘要

九名接受初次全膝关节置换术的参与者接受了脊髓麻醉、镇静、超声引导的闭孔神经和股神经阻滞镇痛以及光生物调节治疗(FBMT),评估了术后疼痛和吗啡消耗情况。FBMT 治疗在术后即刻(IPO)和 24 小时后进行。参与者在术后三天内接受了 16.7±15 毫克的吗啡。在 IPO 时,静息时和运动时的平均疼痛评分为 4.8±3.2 和 5.6±3.5。光生物调节治疗可被视为减轻 TKA 患者疼痛的一种选择。

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BMJ Open. 2020 Jan 9;10(1):e030501. doi: 10.1136/bmjopen-2019-030501.
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Opioid-Sparing Analgesia and Enhanced Recovery After Total Knee Arthroplasty Using Combined Triple Nerve Blocks With Local Infiltration Analgesia.联合三重神经阻滞复合局部浸润镇痛用于全膝关节置换术后的阿片类药物节约性镇痛和加速康复。
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J Arthroplasty. 2018 Aug;33(8):2440-2448. doi: 10.1016/j.arth.2018.03.053. Epub 2018 Mar 27.
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