[1]尤遵强 黄肖华 王宁泽 吴思萍 叶松生 王明锦.中西医结合治疗膝关节置换术围手术期镇痛的研究进展[J].大众科技,2023,25(8):105-108.
 Research Progress on Perioperative Analgesia of Total Knee Arthroplasty Treated with Integrated Traditional Chinese and Western Medicine[J].Popular Science & Technology,2023,25(8):105-108.
点击复制

中西医结合治疗膝关节置换术围手术期镇痛的研究进展()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
25
期数:
2023年8
页码:
105-108
栏目:
医药与卫生
出版日期:
2023-08-20

文章信息/Info

Title:
Research Progress on Perioperative Analgesia of Total Knee Arthroplasty Treated with Integrated Traditional Chinese and Western Medicine
作者:
尤遵强1 黄肖华12 王宁泽1 吴思萍1 叶松生1 王明锦1
(1.广西中医药大学研究生院,广西 南宁 530000;2.广西中医药大学第一附属医院,广西 南宁 530000)
关键词:
膝关节置换术(TKA)围手术期镇痛管理中西医
Keywords:
total knee arthroplasty (TKA) perioperative period analgesic management traditional Chinese and western medicine
文献标志码:
A
摘要:
人工全膝关节置换术(TKA)是治疗终末期膝关节疾病的主要手段,围手术期合理、正确地干预是全膝关节置换术成功的重要保障。TKA围手术期镇痛主要采用多模式镇痛和中医药镇痛,在提高患者的生活质量、减轻疼痛等方面效果良好。文章通过对中西医结合治疗TKA围手术期镇痛的进展进行综述,以期为今后TKA镇痛管理的临床研究提供参考。
Abstract:
Total knee arthroplasty (TKA) is the main method for the treatment of end-stage knee diseases. Reasonable and correct perioperative intervention is an important guarantee for the success of TKA. TKA perioperative analgesia mainly adopts multimodal analgesia and traditional Chinese medicine analgesia, which has good effects in improving patients’ quality of life and reducing pain. The article reviews the progress of combined traditional Chinese and western medicine in the treatment of perioperative analgesia in TKA, in order to provide reference for future clinical research on TKA analgesia management.

参考文献/References:

[1] WAIAWRIGHT T W, GILL M, MCDONALD D A, et al. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced recovery after surgery (ERAS?) society recommendations [J]. Acta Orthopaedica, 2020, 91(1): 3-19. [2] POULSEN M J, COTO J. Nursing music protocol and postoperative Pain[J]. Pain Management Nursing, 2018, 19(2): 172-176. [3] 冯银珍,黄素珍,李冬妹,等. 使用个性化音乐疗法联合心理护理对膝关节置换手术病人围术期疼痛及焦虑的影响[J]. 全科护理,2020,18(36): 5025-5028.[4] LIN C L, HWANG S L, JIANG P, et al. Effect of music therapy on pain after orthopedic surgery: A systematic review and Meta-analysis[J]. Pain Practice, 2020, 20(4): 422-436.[5] 张倩,尤浩军. “超前镇痛”研究进展及麻醉中应用[J]. 中国疼痛医学杂志,2016,22(4): 241-244.[6] 曹勤,古丽萍. 镇痛药在骨科围手术期应用的研究进展[J]. 解放军药学学报,2015,31(4): 350-352.[7] 樊航,郑稼. 昔布类药物在人工全髋关节置换术超前镇痛中的应用研究进展[J]. 重庆医学,2021,50(21): 3750-3754.[8] 孙搏,林英,张晶璟,等. 非甾体抗炎药在骨科手术超前镇痛中的临床应用研究[J]. 现代生物医学进展,2016,16(14): 2655-2659.[9] SKOLNICK P. The opioid epidemic: Crisis and solutions[J]. Annual Review of Pharmacology and Toxicology, 2018, 58: 143-159.[10] 张凯,王波,洪汉刚. 中医药综合疗法在全膝关节置换围手术期镇痛的临床研究[J]. 世界中医药,2017,12(4): 837-842.[11] 雷一霆,裴福兴. 鸡尾酒疗法在全膝关节置换术后镇痛的研究进展[J]. 中国骨与关节杂志,2016,5(12): 934-938.[12] DENG W, CHEN J, LI Q, et al. Comparison of periarticular injection and intra-articular injection for pain management after total knee arthroplasty: A systematic review and Meta-analysis[J]. Journal Of Perianesthesia Nursing, 2021, 36(4): 406-412. [13] SEANGLEULUR A, VANASBODEEKUL P, PRAPAITRAKOOL S, et al. The efficacy of local infiltration analgesia in the early postoperative period after total knee arthroplasty: A systematic review and Meta-analysis[J]. European Journal of Anaesthesiology, 2016, 33(11): 816-831.[14] ANDERSEN L ?, KEHLET H. Analgesic efficacy of local infiltration analgesia in hip and knee arthroplasty: A systematic review[J]. British Journal of Anaesthesia, 2014, 113(3): 360-374. [15] ABROLAT M, EBERHART L H J, KALMUS G, et al. Patientenkontrollierte analgesie: Methoden, handhabung und ausbauf?igkeit[J]. Anasthesiol Intensivmed Notfallmed Schmerzther, 2018, 53(4): 270-280.[16] 孙新. 关节置换术后使用静脉自控镇痛泵的可行性分析[J]. 中国城乡企业卫生,2018,33(6): 80-81. [17] 鲁义,屠伟峰,卿朝晖,等. 静脉与硬膜外自控镇痛对老年髋关节置换术患者术后镇静、舒适度及并发症影响的比较[J]. 临床麻醉学杂志,2015,31(2): 109-112.[18] RAO P B, MANDAL I, TRIPATHY S, et al. Preventive epidural analgesia in bilateral single-stage knee arthroplasty: A randomized controlled trial[J]. Pain and Therapy, 2020, 9(1): 241-248. [19] LI S, ZHOU J, LI X, et al. Analgesic impact of single-shot versus continuous femoral nerve block after total knee arthroplasty: A systematic review and Meta-analysis[J]. Advanced Therapeutics, 2020, 37(2): 671-685.[20] 张千坤,谷斌,姚芳,等. 耳穴贴压对髋膝关节置换术后患者疼痛影响的系统评价[J]. 护理学杂志,2018,33(19): 47-52.[21] 李阳波,田学勇,王靖. 针刺联合舒芬太尼用于老年髋关节置换术后镇痛疗效观察[J]. 陕西中医,2015,36(1): 100-102.[22] 廖红,郑曼,朱娟,等. 针刺治疗全膝关节置换术后疼痛研究进展[J]. 河南中医,2020,40(2): 321-324. [23] 陈达,盛东,徐景利,等. 电针在全膝关节置换术后镇痛的临床疗效分析[J]. 针刺研究,2018,43(10): 616-621. [24] 黄健. 中药熏洗对全膝关节置换术后康复的影响及临床疗效观察[D]. 济南: 山东中医药大学,2020. [25] 时中洋,顾霄鹏,顾岳全,等. 芒硝外敷联合理筋手法干预对膝骨关节炎患者膝关节置换术后效果的影响[J].新中医,2022,54(5): 128-130. [26] 王旭. 龙琥定痛颗粒治疗全膝关节置换术后疼痛与促进康复的临床疗效研究[D]. 合肥: 安徽中医药大学,2021. [27] LI J W, MA Y S, XIAO L K. Postoperative pain management in total knee arthroplasty[J]. Orthopaedic Surgery 2019, 11(5): 755-761. [28] 林英,彭丽桦,师雄. 罗哌卡因股神经阻滞联合帕瑞昔布钠多模式镇痛对膝关节置换术患者血流动力学、应激反应及疼痛的影响[J]. 解放军医药杂志,2021,33(7): 63-67.[29] 强艺. 多模式镇痛在髋膝关节置换术后患者护理康复中的应用[J]. 国际临床研究杂志,2021,5(3): 22-24.

相似文献/References:

[1]蓝莉莉 韦艳飞.快速康复外科护理措施在胸腔镜肺癌切除术围手术期的应用研究[J].大众科技,2023,25(7):133.
 Study on the Application of Rapid Rehabilitation Surgical Nursing Measures in Perioperative Period of Thoracoscopic Lung Cancer Resection[J].Popular Science & Technology,2023,25(8):133.
[2]黎 双,陈琛洁.围手术期营养支持护理对重度营养不良结直肠癌患者影响及预后的临床观察[J].大众科技,2020,22(05):95.
 Clinical Observation on the Influence and Prognosis of Perioperative NutritionSupport Nursing on Severely Malnutrition Colorectal Cancer Patients[J].Popular Science & Technology,2020,22(8):95.

备注/Memo

备注/Memo:
【收稿日期】2022-10-11【作者简介】尤遵强(1995-),男,贵州遵义人,广西中医药大学研究生院在读硕士研究生,研究方向为骨关节退变与缺血性疾病的中医防治研究。【通信作者】黄肖华(1971-),男,广西桂平人,广西中医药大学第一附属医院仙葫院区主任医师,研究生导师,硕士,研究方向为骨关节损伤与疾病。
更新日期/Last Update: 2023-08-24