超前镇痛在全膝关节置换术疼痛管理中的疗效：一篇综述
The efficacy of pre-emptive analgesia on pain management in total knee arthroplasty: a mini-review.
作者信息
Xu Jianda, Li Huan, Zheng Chong, Wang Bin, Shen Pengfei, Xie Zikang, Qu Yuxing
机构信息
Department of Orthopaedics, Changzhou Traditional Chinese Medical Hospital, Nanjing University of Traditional Chinese Medicine, 25 North Heping Road, Changzhou, 213000, Jiangsu Province, China.
Department of Arthroplasty, The First People's Hospital of Changzhou, Changzhou, 213003, China.
出版信息
Arthroplasty. 2019 Oct 22;1(1):10. doi: 10.1186/s42836-019-0011-7.
Abstract
Total knee arthroplasty (TKA) is considered a cost-effective and efficacious treatment for patients with end-stage knee arthritis. Meanwhile, TKA has been regarded as one of the most painful orthopaedic surgeries. Pain control after TKA remains a challenging task. Many analgesic innovations are used to reduce the level of pain, but none has been proven to be the optimum choice till now. Multimodal analgesia incorporates the use of analgesic adjuncts with different mechanisms of action to enhance postoperative pain management. This approach is a preferable choice in relieving postoperative pain with minimum side effects. This paper aims to review pre-emptive analgesia for pain management in TKA. We reviewed the application of pre-emptive analgesia, its physiological mechanism, and the techniques.
摘要
全膝关节置换术（TKA）被认为是终末期膝关节炎患者具有成本效益且有效的治疗方法。同时，TKA一直被视为最疼痛的骨科手术之一。TKA后的疼痛控制仍然是一项具有挑战性的任务。许多镇痛创新方法被用于降低疼痛程度，但到目前为止，尚无一种被证明是最佳选择。多模式镇痛结合使用具有不同作用机制的镇痛辅助药物，以加强术后疼痛管理。这种方法是缓解术后疼痛且副作用最小的优选选择。本文旨在综述TKA中用于疼痛管理的超前镇痛。我们回顾了超前镇痛的应用、其生理机制和技术。
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