Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty
Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty
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DOI：
10.1054/arth.2001.23622
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发表时间：
2001-06-01
影响因子：
3.5
通讯作者：
Criswell, A
中科院分区：
文献类型：
--
作者：
Chelly, JE;Greger, J;Criswell, A
本研究旨在确定持续股动脉灌注（CFI）对全膝关节置换术后恢复的影响。共92例患者分为3组：第1组患者接受全身麻醉后吗啡患者自控镇痛（PCA）（n = 33），第2组患者接受三合一和坐骨神经阻滞后CFI（n = 29），第3组患者接受硬膜外镇痛（n = 30）。阻滞减少了74%（与第1组相比：P <0.05）和35%（与第3组相比; P <0.05）的术后吗啡需求。封闭提供了更好的恢复比PCA与吗啡或硬膜外。使用CFI可使术后出血减少72%（与第1组相比; P <0.05），并在持续被动运动方面表现更好。CFI与严重并发症减少90%和住院时间减少20%相关。对于全膝关节置换术后的疼痛管理和即刻康复，CFI代表了比PCA或硬膜外镇痛更好的替代方案。
This study was designed to determine the effects of continuous femoral infusion (CFI) on total knee arthroplasty recovery. A total of 92 patients were distributed in 3 groups: Patients in group 1 received general anesthesia followed by patient-controlled analgesia (PCA) with morphine (n = 33), patients in group 2 received 3-in-1 and sciatic blocks followed by CFI (n = 29), and patients in group 3 received epidural analgesia (n = 30). Blocks reduced postoperative morphine requirement by 74% (vs group 1: P < .05 and 35% (vs group 3; P < .05). Blocks provided better recovery than PCA with morphine or an epidural. The use of CFI was associated with a reduction of postoperative bleeding by 72% (vs group 1; P < .05) and allowed better performance on continuous passive motion. CFI was associated with a 90% decrease in serious complications and a 20% decrease in the length of hospitalization. CFI represents a better alternative than PCA or epidural analgesia for postoperative pain management and immediate rehabilitation after total knee arthroplasty.