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全膝关节置换术围手术期疼痛管理的进展:多模式镇痛方法综述

Advances in perioperative pain management for total knee arthroplasty: a review of multimodal analgesic approaches.

作者信息

Zhao Chengcheng, Liao Qimeng, Yang Dinglong, Yang Mingyi, Xu Peng

机构信息

Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, China.

Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China.

出版信息

J Orthop Surg Res. 2024 Dec 19;19(1):843. doi: 10.1186/s13018-024-05324-4.

Abstract

Despite significant advancements in total knee arthroplasty (TKA), managing postoperative pain remains a substantial clinical challenge. With advances in surgical techniques and pharmacology, TKA perioperative analgesic strategies continue to evolve, necessitating ongoing reassessment of current data. Multimodal analgesia has become the standard for perioperative pain management in TKA; however, variations in its specific components and applications across studies create challenges in selecting the optimal analgesic approach. Evaluating these pain management strategies is essential for understanding their benefits, limitations, and appropriate use, allowing the development of individualized perioperative analgesic plans. This review aims to summarize current research on perioperative pain control in TKA and assess the effectiveness of different analgesic interventions.

摘要

尽管全膝关节置换术(TKA)取得了显著进展,但术后疼痛管理仍然是一项重大的临床挑战。随着手术技术和药理学的进步,TKA围手术期镇痛策略不断发展,需要持续重新评估现有数据。多模式镇痛已成为TKA围手术期疼痛管理的标准;然而,不同研究中其具体组成部分和应用的差异给选择最佳镇痛方法带来了挑战。评估这些疼痛管理策略对于了解其益处、局限性和适当使用至关重要,有助于制定个性化的围手术期镇痛计划。本综述旨在总结当前关于TKA围手术期疼痛控制的研究,并评估不同镇痛干预措施的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e2/11658298/69ff614c1472/13018_2024_5324_Fig1_HTML.jpg

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