Intra-articular morphine and/or bupivacaine after total knee replacement

被引：69

作者：

Ritter, MA ^{[1
]}

Koehler, M ^{[1
]}

Keating, EM ^{[1
]}

Faris, PM ^{[1
]}

Meding, JB ^{[1
]}

机构：

[1] Ctr Hip & Knee Surg, Mooresville, IN 46158 USA

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1999年 / 81B卷 / 02期

关键词：

D O I：

10.1302/0301-620X.81B2.9110

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The postoperative analgesic effects of intra-articular injections of bupivacaine and/or morphine were examined prospectively in 437 patients who had total knee replacement for osteoarthritis, They were divided randomly into four groups. Group I received 10 mg of morphine (1 ml) and 9 ml of saline, group II received 10 ml of bupivacaine (2.5 mg/ml), group III received 10 ml of saline, and group IV received 10 mg of morphine (1 ml) and 9 ml of bupivacaine (2.5 mg/ml), All analgesics administered in the first 24 hours after operation were recorded, The patients rated their pain on the McGill-Melzack scale at 1, 6, 12 and 24 hours. No significant differences were found between any of the groups in the use of Demoral and/or Toradol in 24 hours, the length of stay in hospital or the pain rating at 1, 6, 12 or 24 hours. Patients in groups I and IV, whose injections included morphine, used significantly more morphine in the first 24 postoperative hours than did groups II or III.

引用

页码：301 / 303

页数：3

共 3 条

[1] Intra-articular injection of bupivacaine in knee-replacement operations - Results of use for analgesia and for preemptive blockade [J].