Adductor canal block is similar to femoral nerve block for the quality of rehabilitation after arthroscopic partial meniscectomy
Adductor canal block is similar to femoral nerve block for the quality of rehabilitation after arthroscopic partial meniscectomy
复制标题
对于关节镜部分半月板切除术后的康复质量，收肌管阻滞与股神经阻滞相似
DOI：
10.1007/s00167-019-05796-6
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发表时间：
2020-07-01
影响因子：
3.8
通讯作者：
Zhou, Leng
中科院分区：
文献类型：
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作者：
Xin, Juan;Zhang, Yabing;Zhou, Leng
目的内收肌管阻滞（ACB）与股神经阻滞（FNB）一样有效地缓解术后疼痛，并能保持股四头肌的力量。然而，其对关节镜下部分椎间盘切除术后康复的影响尚未见报道。本研究的目的是确定术前ACB和FNB对关节镜下部分椎间盘切除术后康复质量的影响。方法将150例关节镜下腰椎间盘突出症部分切除术患者随机分为FNB组（股根-股神经注射0.3%罗哌卡因30 ml）、ACB组（股中收肌管注射0.3%罗哌卡因30 ml）和对照组。主要结局是术后第30天的特殊外科医院（HSS）膝关节评分。结果ACB组术后第30天膝关节HSS评分明显高于FNB组和对照组（分别为88.6 ± 5.3、85.3 ± 6.9和81.2 ± 5.9;P < 0.05）。ACB和FNB组均表现出良好的康复，表明两种治疗的康复质量相似。结论ACB与FNB在关节镜下股骨颈部分切除术后的康复质量和疼痛缓解方面相似，而ACB对股四头肌力量的影响较小。试验注册本试验已在中国临床试验注册中心（ChiCTR-INC-16008346）注册。
Purpose Adductor canal block (ACB) provides postoperative pain relief as effectively as femoral nerve block (FNB) does, and it preserves the strength of the quadriceps femoris. However, its effect on rehabilitation after arthroscopic partial meniscectomy has not been reported. The purpose of this study was to determine the effect of pre-operative ACB and FNB on the quality of rehabilitation after arthroscopic partial meniscectomy. Methods A total of 150 patients undergoing arthroscopic partial meniscectomy were randomly allocated to the FNB group (receiving 0.3% ropivacaine 30 ml at the thighroot-femoral nerve), the ACB group (receiving 0.3% ropivacaine 30 ml at mid-thigh adductor canal), or the control group. The primary outcome was the Hospital for Special Surgery (HSS) knee score on the 30th postoperative day. Results The HSS knee score of the ACB group on the 30th day after the operation was significantly higher than those of the FNB and control groups (88.6 +/- 5.3 vs. 85.3 +/- 6.9 and 81.2 +/- 5.9, respectively;P < 0.05). Both the ACB and FNB groups showed excellent rehabilitation, indicating similar rehabilitation quality for both treatments. Conclusion ACB is similar to FNB concerning the quality of rehabilitation and pain relief after arthroscopic partial meniscectomy, while ACB has little effect on the strength of the quadriceps femoris. Trial registrataion This trial was registered in the Chinese Clinical Trial Registry (ChiCTR-INC-16008346).