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.
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。
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