全膝关节置换术中内收管阻滞

Alqatawneh Mohammad Ali, Bespalchuk P. I., Lapusto A. A.
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引用次数: 0

摘要

膝关节骨关节炎是一种退行性疾病,通常是关节软骨磨损和进行性损失的结果。骨关节炎是一种进行性疾病,最终会导致残疾。全膝关节置换术被认为是治疗严重退行性膝关节炎的有效手术方法,在手术效果良好的情况下,可以减轻疼痛,增加活动能力,提高生活质量。然而,全膝关节置换术与中度至重度术后疼痛相关。疼痛控制仍然是一个问题,由于其主观性质和患者的多样性,这需要寻找新的方案和治疗方法。近年来,外周神经阻滞的应用越来越普遍。阻断内收管可以显著减少阿片类药物的消耗及其使用相关的副作用,这有助于手术患者的早期活动。该研究的对象是2017年至2020年期间在明斯克第六城市临床医院进行的138例全膝关节置换术。
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ADDUCTOR CANAL BLOCK IN TOTAL KNEE REPLACEMENT
Osteoarthritis of the knee is a degenerative disease, usually the result of wear and tear and progressive loss of articular cartilage. Osteoarthritis is a progressive disease that can eventually lead to disability. Total knee replacement is considered an effective surgical treatment for severe degenerative osteoarthritis of the knee, to relieve pain, increase mobility, and improve quality of life in cases with excellent surgical outcomes. However, total knee replacement is associated with moderate to severe postoperative pain. Pain control remains a problem due to its subjective nature and the diversity of patients, which requires the search for new regimens and treatment methods. In recent years, the use of peripheral nerve blocks has become increasingly popular. Blockade of the adductor canal can significantly reduce opioid consumption and side effects associated with their use, which contributes to the early mobilization of operated patients. The object of the study was 138 total knee arthroplasty performed at the 6th City Clinical Hospital of Minsk in the period from 2017 to 2020.
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