膝关节单髁置换术后早期疼痛管理的研究进展
摘要
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
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.
(9 摘要 Views, 107 PDF Downloads)
Refbacks
- 当前没有refback。