[1]赵旻暐,综述,田华*,等.连续收肌管阻滞在全膝关节置换术后镇痛方面的应用[J].中国微创外科杂志,2016,16(12):1146-1149.
 Zhao Minwei*,Tian Hua*,Wang Ning..Application of Continuous Adductor Canal Block in Pain Control After Total Knee Arthroplasty[J].Chinese Journal of Minimally Invasive Surgery,2016,16(12):1146-1149.
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连续收肌管阻滞在全膝关节置换术后镇痛方面的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年12期
页码:
1146-1149
栏目:
文献综述
出版日期:
2016-12-20

文章信息/Info

Title:
Application of Continuous Adductor Canal Block in Pain Control After Total Knee Arthroplasty
作者:
赵旻暐综述田华*王宁①审校
北京大学第三医院骨科,北京100083
Author(s):
Zhao Minwei* Tian Hua* Wang Ning.
*Department of Orthopedics, Peking University Third Hospital, Beijing 100083, China
关键词:
收肌管阻滞全膝关节置换镇痛
Keywords:
Adductor canal blockTotal knee arthroplastyPain control
文献标志码:
A
摘要:
由于截骨操作、软组织平衡等处理,全膝关节置换(total knee arthroplasty,TKA)术后疼痛多较剧烈。更重要的是,术后疼痛管理的优劣直接影响到患者膝关节功能锻炼情况。因此,良好的TKA术后镇痛方法一直是研究热点。连续股神经阻滞(femoral nerve block,FNB)是术后常用的镇痛方法,疗效确切,但严重影响股四头肌肌力,不利于术后康复。连续收肌管阻滞(adductor canal block,ACB)以隐神经为靶点,研究显示该方法可达到同FNB类似的镇痛效果,同时对股四头肌肌力影响更小,但ACB在膝关节置换中应用时间不长,有局部药物弥散导致麻醉范围扩大、国内相关报道较少等问题,值得进一步关注和探讨。
Abstract:
It is very frequent that patients undergoing total knee arthroplasty (TKA) suffer a severe pain from the bone cutting and soft tissue balance procedures postoperatively. In addition, pain control is the key point of the rehabilitation after surgery. Therefore, establishing an effective method to decrease the pain should be considered as a priority. Femoral nerve block (FNB), as a common and effective peripheral nerve block after TKA, affects the strength of quadriceps femoris and the postoperative recovery. Adductor canal block (ACB), targeting at the saphenous nerve, is proved to be as effective as FNB in pain control, and has less influence on the quadriceps strength. However, considering about the short time following up, the expansion of local anesthesia drug and few reports in China, the application of ACB in TKA needs further study.

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备注/Memo

备注/Memo:
*通讯作者,E-mail:tianhua@bjmu.edu.cn①麻醉科
更新日期/Last Update: 2017-03-09