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膝关节置换术围术期疼痛的管理 被引量：18

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摘要 人工全膝关节置换术（ TKA ）是一种治疗重度终末期膝关节疾病有效的治疗方法，但术后疼痛影响患者的康复和手术疗效[1]。疼痛可以使患者呼吸急促、心动过速、肺膨胀不全以及分解代谢增加，可导致术后循环不稳定或肺部感染。膝关节置换术后早期康复锻炼可使患者获得一个功能良好且无痛的关节，所以术后急性疼痛的控制尤为重要[2]。
作者 郭艾 马立峰
机构地区 首都医科大学附属北京友谊医院骨科
出处 《中国临床医生杂志》 2014年第2期1-3,共3页 Chinese Journal For Clinicians
关键词 人工全膝关节置换术 术后疼痛 术后早期康复锻炼 围术期 管理 治疗方法 膝关节疾病 肺膨胀不全
分类号 R687.4 [医药卫生—骨科学]
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参考文献17

  • 1Colak MC, Kavakli A,Kilin A, et al. Postoperative pain and respirato-ry function in patients treated with electroacupuncture following coro-nary surgery[ J]. Neurosciences,2010,15( 1 ) :7-10.
  • 2Thomas H,Adolph VL,Robert AF. Pain management for joint arthro-plasty :preemptive analgesia [ J]. Arthroplasty, 2002,17(4) :129-133.
  • 3Warltier DC,Pagel PS,Kersten JR. Approaches to the prevention ofperioperative myocardial ischemia[ J] . Anesthesiology,2000,92( 1):253-259.
  • 4Schaible HG. Pathophysiology of pain[ J]. Orthopade,2007 ,36( 1 ):8-16.
  • 5Margaryan G,Mattioli C,Mladinic M,et al. Neuroprotection of loco-motor networks after experimental injury to the neonatal rat spinalcord in vitro[ J]. Neuroscience ,2010,165 (3 ) :996-1010.
  • 6Carlton SM,Du J,Tan HY,et al. Peripheral and central sensitizationin remote spinal cord regions contribute to central neuropathic painafter spinal cord injury [J]. Pain ,2009,147 ( 1 -3) :265-276.
  • 7Moiniehe S, Kehlet H, Dahl JB. A qualitative and quantitative sys-tematic Review of preemptive analgesia for postoperative pain relief:the role of timing of analgesia [ J], Anesthesiology,2002,96 ( 3 ) .725-741.
  • 8Hogan QH. No preemptive analgesia: is that so bad[ J] ? Anesthesi-ology, 2002,96(3) :526-527.
  • 9Becchi C, Al Malyan M, Coppini R, et al. Opioid-free analgesia bycontinuous psoas compartment block after total hip arthroplasty. Arandomized study[ J]. Eur J Anaesthesiol,2008’25(5) :418-423.
  • 10沈彬,唐新,杨静,李勇,周宗科,康鹏德,裴福兴.围手术期口服塞来昔布对全膝关节置换术后疼痛和功能康复的近期影响和安全性观察[J].中华外科杂志,2009,47(2):116-119. 被引量：37

二级参考文献62

  • 1成忠新.硬膜外小剂量氯胺酮在不同给药时间的超前镇痛效果[J].咸宁学院学报（医学版）,2005,19(3):187-189. 被引量：5
  • 2Aida S,王锦琰.超前镇痛面临的挑战[J].中国疼痛医学杂志,2005,11(6):321-322. 被引量：38
  • 3辜晓岚,徐建国.塞莱昔布超前镇痛在骨科手术的应用[J].临床麻醉学杂志,2006,22(1):19-21. 被引量：34
  • 4Buvanendran A, Kroin JS, Tuman KJ, et al. Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement: a randomized controlled trial. JAMA, 2003; 290(18):2411-2418
  • 5Meunier A, Lisander B, Good L.Effects of celecoxib on blood loss,pain, and recovery of function after total knee replacement: a randomized placebo-controlled trial. Acta Orthop, 2007,78(5) :661-667
  • 6Sugano K. Current issues of NSAIDinduced gastrointestinal ulcer in Japan. Nippon Rinsho, 2007;65(10):1754-1758
  • 7Valat JP, Deray G, Heloire F, et al. Are there any differences in the cardiovascular tolerance between classical NSAIDs and coxibs? Presse Med, 2006; 35(Suppl 1 ) :25-34
  • 8Feng Y, Ju H, Yang B, et al. Effects of a selective cyclooxygenase-2 inhibitor on postoperative inflammatory reaction and pain after total knee replacement. J Pain, 2008; 9(1):45-52
  • 9Stiller CO, Lundblad H, Weidenhidm L, et al. The addition of tramadol to morphine via patient-controlled analgesia does not lead to better post-operative pain relief after total knee arthroplasty. Acta Anaesthesiol Stand, 2007; 51(3): 322-330
  • 10Hadi MA, Kamaruljan HS, Saedah A, et al. A comparative study of intravenous patient-controlled analgesia morphine and tramadol in patients undergoing major operation. Med J Malaysia, 2006; 61(5):570-576

共引文献304

同被引文献186

引证文献18

二级引证文献142

中国临床医生杂志
2014年 第2期

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