全关节置换术围手术期多模式疼痛管理的研究进展

被引:4
作者
刘恒旸
王华锋
王静成
机构
[1] 苏北人民医院骨科
关键词
关节成形术; 置换; 镇痛; 综述;
D O I
暂无
中图分类号
R687 [矫形外科手术学];
学科分类号
摘要
<正>全髋关节置换术(total hip arthroplasty,THA)和全膝关节置换术(total knee arthroplasty,TKA)是最成功的外科手术之一,目前已广泛开展,极大地提高了患者的生活质量,而围手术期疼痛管理是其中的重要组成部分。良好的镇痛可允许患者术后早期功能锻炼、加快术后康复,减少术后并发症,并提高患者对手术质量的整体评价。随着人们对疼痛机制的进一步了解,以及医疗技术和药理学的快速发展,THA/TKA的疼痛管理方案日益完善,笔者就相关进展作一综述。
引用
收藏
页码:273 / 276
相关论文
共 19 条
[1]   超前镇痛的临床研究进展 [J].
徐丽丽 ;
沈建军 ;
周海燕 .
上海医学, 2012, 35 (04) :345-349
[2]  
Intraoperative Local Infiltration Analgesia for Early Analgesia After Total Hip Arthroplasty: A Randomized, Double-Blind, Placebo-Controlled Trial[J] . Troels H. Lunn,Henrik Husted,S?ren Solgaard,Billy B. Kristensen,Kristian S. Otte,Anne G. Kjersgaard,Lissi Gaarn-Larsen,Henrik Kehlet.Regional Anesthesia and Pain Medicine . 2011 (5)
[3]   Postoperative Pain Management [J].
Nett, Michael P. .
ORTHOPEDICS, 2010, 33 (09) :23-26
[4]  
Pain Management in Total Joint Arthroplasty: A Historical Review[J] . Horlocker,Terese T..Orthopedics (Online) . 2010 (9)
[5]   Gabapentin Does Not Reduce Preoperative Anxiety When Given Prior to Total Hip Arthroplasty [J].
Clarke, Hance ;
Kay, Joseph ;
Orser, Beverley A. ;
Gollish, Jeffrey ;
Mitsakakis, Nicholas ;
Katz, Joel .
PAIN MEDICINE, 2010, 11 (06) :966-971
[6]  
Perioperative Oral Pregabalin Reduces Chronic Pain After Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial[J] . Asokumar Buvanendran,Jeffrey S. Kroin,Craig J. Della Valle,Maruti Kari,Mario Moric,Kenneth J. Tuman.Anesthesia & Analgesia . 2010 (1)
[7]  
The Early and Delayed Analgesic Effects of Ketamine After Total Hip Arthroplasty: A Prospective, Randomized, Controlled, Double-Blind Study[J] . Francis Remérand,Charlotte Le Tendre,Annick Baud,Claude Couvret,Xavier Pourrat,Luc Favard,Marc Laffon,Jacques Fusciardi.Anesthesia & Analgesia . 2009 (6)
[8]   The Efficacy of Periarticular Multimodal Drug Infiltration in Total Hip Arthroplasty [J].
Busch, Constant A. ;
Whitehouse, Michael R. ;
Shore, Benjamin J. ;
MacDonald, Steven J. ;
McCalden, Richard W. ;
Bourne, Robert B. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (08) :2152-2159
[9]   Efficacy of intra-articular cocktail analgesic injection in total knee arthroplasty - A randomized controlled trial [J].
Fu, Peiliang ;
Wu, Yuli ;
Wu, Haishan ;
Li, Xiaohua ;
Qian, Qirong ;
Zhu, Yunli .
KNEE, 2009, 16 (04) :280-284
[10]  
Relief of postoperative pain by local anaesthetic infiltration: Efficacy for major abdominal and orthopedic surgery[J] . Pain . 2009 (1)