Xie Jiewei, Zhu Junlang, Xu Yiyin, Chen Mengli, Chen Haiyun, Yuan Kaiping, Lin Dingkun
Department of Trauma and Foot-Ankle Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China.
Department of Trauma and Foot-Ankle Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China.
Evid Based Complement Alternat Med. 2022 Sep 2;2022:1084815. doi: 10.1155/2022/1084815. eCollection 2022.
Hallux valgus is a relatively common forefoot disease in clinical practice. The aim of our study was to assess the role of local cocktail drugs and postoperative pain after hallux valgus surgery.
A retrospective case-control study was conducted to analyze 75 moderate to severe hallux valgus patients from June 1, 2018 to December 1, 2019. All patients were divided into cocktail and control groups according to whether the cocktail therapy was used or not after the operation. The anesthesiologist did not provide analgesic treatment other than nerve block anesthesia and intravenous anesthesia, such as analgesic pumps. The operative region of the cocktail group received a mixture of 10 ml of 0.75% ropivacaine, 10 ml of flurbiprofen axetil injection, and 1 ml of compound betamethasone injection, whereas the control group received nothing in the surgical spot. We recorded patients' VAS scores preoperatively and at 6, 24 hours postoperatively; the length of hospital stay and the number of hospitalization expenses; the scores of Kolcaba comfort level; and the scores of Pittsburgh sleep quality.
There was no significant difference in age or sex between the two groups. The VAS scores at 6 and 24 hours postoperatively were significantly lower in the cocktail group. The average length of hospital stay was 8.24 days in the control group and 3.73 days in the cocktail group. The average total hospitalization cost of the control group was ¥28285.16, and that of the cocktail group was ¥22366.31. In expenses of total hospitalization costs, the cocktail group was lower than the control group. Kolcaba's comfort various scores and the total score of the cocktail group were higher than the control group. The total score of PSQI and all dimensions in the experimental group were lower than those in the control group.
We found a significant difference in the results of postoperative pain management except for age, sex, and hospitalization expenses. After hallux valgus surgery, inject cocktail drugs around the first metatarsophalangeal joint did reduce postoperative pain level. . Level III, case-control study.
拇外翻是临床实践中一种相对常见的前足疾病。本研究的目的是评估局部混合药物在拇外翻手术后的作用及术后疼痛情况。
进行一项回顾性病例对照研究，分析2018年6月1日至2019年12月1日期间的75例中重度拇外翻患者。所有患者根据术后是否使用混合疗法分为混合组和对照组。麻醉医生除了进行神经阻滞麻醉和静脉麻醉外，不提供其他镇痛治疗，如镇痛泵。混合组的手术区域注射10毫升0.75%罗哌卡因、10毫升氟比洛芬酯注射液和1毫升复方倍他米松注射液的混合液，而对照组手术部位不注射任何药物。我们记录了患者术前、术后6小时和24小时的视觉模拟评分（VAS）；住院时间和住院费用；Kolcaba舒适度评分；以及匹兹堡睡眠质量评分。
两组患者的年龄和性别无显著差异。混合组术后6小时和24小时的VAS评分显著更低。对照组的平均住院时间为8.24天，混合组为3.73天。对照组的平均总住院费用为28285.16元，混合组为22366.31元。在总住院费用方面，混合组低于对照组。Kolcaba舒适度各项评分及混合组的总分均高于对照组。实验组匹兹堡睡眠质量指数（PSQI）总分及各维度得分均低于对照组。
我们发现除年龄、性别和住院费用外，术后疼痛管理结果存在显著差异。拇外翻手术后，在第一跖趾关节周围注射混合药物确实降低了术后疼痛程度。三级，病例对照研究。
