文章摘要
丁明,上官磊,王迎春,等.鸡尾酒镇痛疗法对前交叉韧带重建术后镇痛和关节功能的影响研究.骨科,2024,15(2): 115-118,124.
鸡尾酒镇痛疗法对前交叉韧带重建术后镇痛和关节功能的影响研究
Effects of Cocktail Analgesic Therapy on Postoperative Analgesia and Joint Function in Anterior Cruciate Ligament Reconstruction Surgery
投稿时间:2023-12-20  
DOI:10.3969/j.issn.1674-8573.2024.02.004
中文关键词: 关节镜  前交叉韧带  疼痛  鸡尾酒注射  膝关节功能
英文关键词: Arthroscopy  Anterior cruciate ligament  Pain  Cocktail injection  Knee joint function
基金项目:
作者单位E-mail
丁明 空军军医大学第一附属医院运动医学科西安 710032  
上官磊 空军军医大学第一附属医院运动医学科西安 710032  
王迎春 空军军医大学第一附属医院运动医学科西安 710032  
张楠 空军军医大学第一附属医院运动医学科西安 710032  
王湘淳 空军军医大学第一附属医院运动医学科西安 710032  
张春礼 空军军医大学第一附属医院运动医学科西安 710032  
徐虎 空军军医大学第一附属医院运动医学科西安 710032  
廖炳辉 空军军医大学第一附属医院运动医学科西安 710032 sky_0821@163.com 
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中文摘要:
      目的 评估在关节镜下前交叉韧带(anterior cruciate ligament,ACL)重建术中应用膝关节周围和关节腔注射鸡尾酒治疗的术后镇痛效果及其对术后关节功能的影响。方法 收集113例病人,随机分为对照组及鸡尾酒组。对照组在ACL重建术后、缝合切口之前在膝关节切口局部及关节腔注射75%罗哌卡因注射液10 mL+0.9%氯化钠注射液10 mL;鸡尾酒组在ACL重建术后、缝合切口之前注射鸡尾酒配方。术后定期随访,采用疼痛数字分级法(NRS)评估病人膝关节疼痛程度,膝关节Lysholm评分评估功能情况。结果 两组最终各有50例入组。鸡尾酒组术后引流量为(54.40±20.11) mL,低于对照组的(74.40±18.53) mL;术后第1日、第3日的NRS评分分别为(1.74±0.69)分、(1.16±0.37)分,均明显低于对照组;术后3个月膝关节Lysholm评分为(87.44±2.34)分,高于对照组的(83.72±2.58)分;上述指标组间比较,差异均有统计学意义(P<0.05)。但两组术后6个月膝关节Lysholm评分比较,差异无统计学意义(P>0.05)。结论 ACL重建术中使用鸡尾酒镇痛方法,能有效减轻患肢术后疼痛,且有助于患肢早期康复锻炼。
英文摘要:
      Objective To evaluate the effects of cocktail analgesic therapy on postoperative analgesia and joint function in anterior cruciate ligament reconstruction surgery. Methods Totally, 113 patients were collected and randomly divided into control group and cocktail group. The patients in control group were subjected to periarticular and intra-articular injection of 10 mL of 75% ropivacaine and 0.9% sodium chloride before suturing incision while the cocktail group received an intraoperative periarticular and intra-articular cocktail injection. Postoperative pain was recorded using the numerical rating scale (NRS) and the knee function was evaluated by Lysholm scores during postoperative follow-up. Results Both groups ultimately had 50 participants each. The total drainage volume of the cocktail group was (54.40±20.11) mL, which was lower than in the control group [(74.40±18.53) mL]. On the 1st and 3rd day after surgery, the NRS scores were (1.74±0.69) and (1.16±0.37) in the cocktail group, respectively, which were significantly lower than those in the control group; The Lysholm score of the knee joint in the cocktail group was 87.44±2.34, which was higher than in the control group (83.72±2.58); The above differences were statistically significant (P<0.05). However, there was no statistically significant difference in the Lysholm scores of the knee joint between the two groups at 6th month after surgery (P>0.05). Conclusion The use of intraoperative periarticular and intra-articular cocktail injection in anterior cruciate ligament reconstruction can effectively alleviate postoperative pain and provide better early rehabilitation.
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