Combined Military Hospital, Rawalpindi, Pakistan.
Foundation University Medical College, Rawalpindi, Pakistan.
J Ayub Med Coll Abbottabad. 2022 Apr-Jun;34(2):273-278. doi: 10.55519/JAMC-02-8647.
Arthroscopy of the knee is preferably done under spinal anaesthesia. The optimal analgesia for effective postoperative pain control is important to permit early discharge, comfort and mobility of the patient. Objective of the study is to assess the efficacy of ketorolac and lignocaine administered intra-articularly for postoperative pain following knee arthroscopic surgery.
A total of 133 patients were randomized into two groups with one group receiving intra-articular Ketorolac and the other group receiving intra-articular Lignocaine. Postoperative pain was then assessed using the Visual Analog Scale (VAS) at 4, 8, 12 and 24 hours after surgery.
Both the groups had effective analgesia at 4 hours. The best analgesia was seen in the group that received Ketorolac Intra-articularly and it was found statistically significant.
Administration of intra-articular Ketorolac injection is safe and effective way of achieving postoperative pain relief after arthroscopic knee surgery.
膝关节镜检查最好在脊髓麻醉下进行。为了实现有效的术后疼痛控制，为患者提供早期出院、舒适和活动能力，为患者提供最佳的术后镇痛非常重要。本研究的目的是评估膝关节镜手术后关节内给予酮咯酸和利多卡因对术后疼痛的疗效。
共 133 例患者随机分为两组，一组给予关节内酮咯酸，另一组给予关节内利多卡因。术后 4、8、12 和 24 小时使用视觉模拟评分（VAS）评估术后疼痛。
两组在 4 小时时均有有效的镇痛作用。关节内给予酮咯酸组的镇痛效果最佳，且具有统计学意义。
关节内注射酮咯酸是一种安全有效的方法，可缓解膝关节镜手术后的术后疼痛。
