鸡尾酒疗法在全膝关节置换术后镇痛的研究进展

鸡尾酒疗法在全膝关节置换术后镇痛的研究进展

雷一霆　裴福兴

DOI: 10.3969/j.issn.2095-252X.2016.12.012 中图分类号：R687.4, R614

作者单位：610041 成都，四川大学华西医院骨科

通信作者：裴福兴，Email: peifuxing@

Research progress of cocktail therapy for post-operative pain control in total knee arthroplasty LEI Yi-ting, PEI Fu-xing. Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, PRC Corresponding author: PEI Fu-xing, Email: peifuxing@

【Abstract】 Pain management is a main determinant of functional recovery after total knee arthroplasty ( TKA ).

Local infiltration analgesia ( or cocktail therapy ) known as a periarticular infiltration technique in operations with a combined administration of local anesthetics, epinephrine and other adjuvants, has gained increasing popularity in total knee arthroplasty. In this review, the latest progress of within-protocol comparisons and between-protocol comparisons are discussed.

【Key words】 Arthroplasty, replacement, knee; Pain management; Anesthesia, local

【关键词】　关节成形术，置换，膝；疼痛管理；麻醉，局部

局部浸润麻醉 ( 鸡尾酒疗法 ) 是比较新颖的人工关节置换术后镇痛方法，具有良好的镇痛效果，以控制术后疼痛、减少不良反应及帮助患者康复。这项技术最早由 Bianconi 等 [1] 提出并应用于膝关节置换术中，其原理主要是消除手术伤口对疼痛的刺激与传导，以达到预防和控制术后痛的目的。局部注射时机一般选择假体置入的前

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( 收稿日期：2016-09-08 )

( 本文编辑：裴艳宏　李贵存 )

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