开放期刊系统

膝关节单髁置换术后早期疼痛管理的研究进展

申 世宁, 徐 飞

摘要

膝关节单髁置换术(unicompartmental knee arthroplasty UKA)被认为是治疗膝关节前内侧骨关
节炎的有效治疗方法,由于膝关节单髁置换术的手术切口相较于全膝关节置换术 (total knee arthroplasty TKA) 更
小,对周围的软组织损伤较小、保有的骨量更多,因此术后并发症也相对较少。并且接受 UKA 的患者更年轻,
术后的康复效果也相较于 TKA 患者更佳,术后早期良好的疼痛管理是膝关节功能恢复的必要条件,不充分的
镇痛将严重影响患者术后康复和功能锻炼。

关键词

膝关节单髁置换术;术后镇痛;神经阻滞

全文:

PDF

参考

[1] 卢爱军 . 全膝关节置换术围术期多模式联合镇

痛的临床应用 [J]. 湖北民族学院学报 ( 医学版 ),2018,35

(02):28-30.

[2]Jiang M, Deng H, Chen X, Lin Y, Xie X, Bo Z.

The efficacy and safety of selective COX-2 inhibitors for

postoperative pain management in patients after total knee/

hip arthroplasty: a meta-analysis. J Orthop Surg Res. 2020

Feb 5;15(1):39.

[3]Rasmussen GL, Malmstrom K, Bourne MH,

Jove M, Rhondeau SM, Kotey P, Ang J, Aversano M,

Reicin AS; Etoricoxib Postorthopedic Study Group.

Etoricoxib provides analgesic efficacy to patients after

knee or hip replacement surgery: a randomized, doubleblind, placebo-controlled study. Anesth Analg. 2005

Oct;101(4):1104-1111.

[4]Salerno A, Hermann R (2006) Efficacy and safety

of steroid use for postoperative pain relief. Update and

review of the medical literature. J Bone Joint Surg (Am)

88(6):1361–1372.

[5]Lan F, Shen Y, Ma Y, Cao G, Philips N, Zhang

T, Wang T. Continuous Adductor Canal Block used for

postoperative pain relief after medial Unicondylar Knee

Arthroplasty: a randomized, double-blind, placebocontrolled trial. BMC Anesthesiol. 2019 Jun 29;19(1):114.

[6]De Mattei M, Pellati A, Pasello M, Ongaro A,

Setti S, Massari L, et al. Effects of physical stimulation with

electromagnetic field and insulin growth factor-Itreatment

on proteoglycan synthesis of bovine articular cartilage.

Osteoarthritis Cartilage 2004;12(10):793–800.

[7]Varani K, Vincenzi F, Ravani A, Pasquini S,

Merighi S, Gessi S, et al. Adenosine receptors as a biological

pathway for the anti-inflammatory and beneficial effects

of low frequency low energy pulsed electromagnetic fields.

Mediators Inflamm 2017;2017:2740963

[8]Sakhrani N, Stefani RM, Setti S, Cadossi R,

Ateshian GA, Hung CT. Pulsed Electromagnetic Field

Therapy and Direct Current Electric Field Modulation

Promote the Migration of Fibroblast-like Synoviocytes to

Accelerate Cartilage Repair In Vitro. Appl Sci (Basel). 2022

Dec 1;12(23):12406.

[9]D'Ambrosi R, Ursino C, Setti S, Scelsi M, Ursino

N. Pulsed electromagnetic fields improve pain management

and clinical outcomes after medial unicompartmental knee

arthroplasty: A prospective randomised controlled trial. J

ISAKOS. 2022 Oct;7(5):105-112.

[10] 崔静静 , 张宝 , 高海艳 . 坐骨神经联合股神经

阻滞在老年膝关节置换术围术期镇痛中的应用价值 [J].

解放军医药杂志 ,2020,32(10):88-92.

[11] 陶晶 , 王鑫 , 陈继锋等 . 多模式镇痛在全膝关

节置换术中的临床疗效观察 [J]. 农垦医学 ,2017,39(05):

407-410.

[12]Politzer CS, Kildow BJ, Goltz DE, Green CL,

Bolognesi MP, Seyler TM. Trends in Opioid Utilization

Before and After Total Knee Arthroplasty. J Arthroplasty.

2018 Jul;33(7S):S147-S153.e1.

[13]Jiang M, Deng H, Chen X, Lin Y, Xie X, Bo Z.

The efficacy and safety of selective COX-2 inhibitors for

postoperative pain management in patients after total knee/

hip arthroplasty: a meta-analysis. J Orthop Surg Res. 2020

Feb 5;15(1):39.

[14]Rasmussen GL, Malmstrom K, Bourne MH,

Jove M, Rhondeau SM, Kotey P, Ang J, Aversano M,

Reicin AS; Etoricoxib Postorthopedic Study Group.

Etoricoxib provides analgesic efficacy to patients after

knee or hip replacement surgery: a randomized, doubleblind, placebo-controlled study. Anesth Analg. 2005

Oct;101(4):1104-1111.

[15] 王康 . 鸡尾酒疗法在全膝关节置换术中的应

用研究 [D]. 郑州大学 ,2022.

[16]Chughtai M, Sodhi N, Jawad M, Newman JM,

Khlopas A, Bhave A, Mont MA. Cryotherapy Treatment

After Unicompartmental and Total Knee Arthroplasty: A

Review. J Arthroplasty. 2017 Dec;32(12):3822-3832. doi:

10.1016/j.arth.2017.07.016. Epub 2017 Jul 21. PMID:

28802778.

[17] 邓翩 , 张筝 , 曹雅琼等 . 多模式镇痛结合冰袋

冷敷在行膝关节置换术患者术后早期护理中的应用 [J].

中西医结合护理 ( 中英文 ),2023,9(09):163-165.

[18]Cheng X, Wang Z, Zhang Y, Zhang X. Oral

administration of prednisone effectively reduces subacute

pain after total knee arthroplasty. Orthop Traumatol Surg

Res. 2021 May;107(3):102770.

[19] 万超 , 董圣杰 , 姜丽敏等 . 静脉或局部应用糖

皮质激素在全膝关节置换术后的镇痛效果和安全性比

较:一项随机双盲对照研究 [J]. 中华骨与关节外科杂

志 ,2022,15(04):248-254+288.


(7 摘要 Views, 67 PDF Downloads)

Refbacks

  • 当前没有refback。