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Comparison of Minimally Invasive Surgery Transforaminal Lumbar Interbody Fusion and TLIF for Treatment of Lumbar Spine Stenosis.微创经椎间孔腰椎体间融合术与 TLIF 治疗腰椎管狭窄症的比较。
J Healthc Eng. 2022 Jan 25;2022:9389239. doi: 10.1155/2022/9389239. eCollection 2022.
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Evolutionary game analysis on the recycling strategy of household medical device enterprises under government dynamic rewards and punishments.政府动态奖惩下的家用医疗器械企业回收策略的演化博弈分析。
Math Biosci Eng. 2021 Jul 28;18(5):6434-6451. doi: 10.3934/mbe.2021320.
3
Tourniquet use in knee surgery: is it time to move on?膝关节手术中止血带的使用:是时候摒弃了吗?
Bone Joint J. 2021 May;103-B(5):805-806. doi: 10.1302/0301-620X.103B5.BJJ-2021-0293.
4
Femoral nerve versus adductor canal block for early postoperative pain control and knee function after anterior cruciate ligament reconstruction with hamstring autografts: a prospective single-blind randomised controlled trial.股神经阻滞与收肌管阻滞在腘绳肌腱重建前交叉韧带术后早期疼痛控制及膝关节功能恢复的比较:一项前瞻性单盲随机对照试验。
Arch Orthop Trauma Surg. 2021 Nov;141(11):1927-1934. doi: 10.1007/s00402-021-03823-1. Epub 2021 Feb 20.
5
Does Tourniquet Use in TKA Increase Postoperative Pain? A Systematic Review and Meta-analysis.止血带在全膝关节置换术中的使用是否会增加术后疼痛?系统评价和荟萃分析。
Clin Orthop Relat Res. 2019 Mar;477(3):547-558. doi: 10.1097/CORR.0000000000000572.
6
Prehospital tourniquet use in penetrating extremity trauma: Decreased blood transfusions and limb complications.院前止血带在穿透性肢体创伤中的应用:减少输血和肢体并发症。
J Trauma Acute Care Surg. 2019 Jan;86(1):43-51. doi: 10.1097/TA.0000000000002095.
7
Quality of life after total knee arthroplasty.全膝关节置换术后的生活质量。
Orthop Traumatol Surg Res. 2018 Feb;104(1S):S41-S46. doi: 10.1016/j.otsr.2017.04.017. Epub 2017 Nov 26.
8
Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature.全膝关节置换术后患者的不满:文献系统评价。
J Arthroplasty. 2017 Dec;32(12):3854-3860. doi: 10.1016/j.arth.2017.07.021. Epub 2017 Jul 21.
9
Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis.全膝关节置换术后减轻疼痛或减少阿片类药物使用的非药物干预措施:一项系统评价和荟萃分析
JAMA Surg. 2017 Oct 18;152(10):e172872. doi: 10.1001/jamasurg.2017.2872.
10
Adductor canal block provides better performance after total knee arthroplasty compared with femoral nerve block: a systematic review and meta-analysis.与股神经阻滞相比,收肌管阻滞在全膝关节置换术后效果更佳:一项系统评价与荟萃分析。
Int Orthop. 2016 May;40(5):925-33. doi: 10.1007/s00264-015-2998-x. Epub 2015 Oct 10.

股神经阻滞和收肌管阻滞对全膝关节置换术止血带反应和术后镇痛的影响。

Effects of the Femoral Nerve Block and Adductor Canal Block on Tourniquet Response and Postoperative Analgesia in Total Knee Arthroplasty.

机构信息

Department of Anesthesiology, First Affiliated Hospital of Soochow University, Jiangsu 215000, China.

出版信息

J Healthc Eng. 2022 Apr 12;2022:2327753. doi: 10.1155/2022/2327753. eCollection 2022.

DOI:10.1155/2022/2327753
PMID:35449853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9018186/
Abstract

Tourniquet has emerged as an important role in surgical procedures, sixty patients undergoing elective total knee arthroplasty are randomly divided into the nerve block group and adductor duct block group in this paper. The changes of mean arterial pressure (MAP) and heart rate (HR) at different time points during operation, the changes of VAS scores at resting pain and exercise pain, and the changes of quadriceps femur muscle strength at different time points after operation are observed in 2 groups. The experimental results show that compared with adductor duct block, femoral nerve block can better relieve the intraoperative tourniquet reaction without affecting the postoperative analgesic effect and the muscle strength of quadriceps femurs.

摘要

止血带在外科手术中起着重要的作用。本文将 60 名择期行全膝关节置换术的患者随机分为神经阻滞组和收肌管阻滞组。观察两组患者在手术不同时间点的平均动脉压(MAP)和心率(HR)变化、静息痛和运动痛时 VAS 评分的变化,以及术后不同时间点股四头肌肌力的变化。实验结果表明,与收肌管阻滞相比,股神经阻滞能更好地缓解术中止血带反应,而不影响术后镇痛效果和股四头肌肌力。