Analgesic effects of intraarticular cocktail versus intravenous parecoxib injection after total hip arthroplasty
10.3969/j.issn.2095-4344.2014.09.003
- VernacularTitle:全髋关节置换后局部关节注射鸡尾酒与静脉注射帕瑞昔布镇痛的对比
- Author:
Xueping DU
;
Jianquan LU
;
Ping XU
;
Yuchang ZHU
;
Dayong DONG
- Publication Type:Journal Article
- Keywords:
arthroplasty,replacement,hip;
anesthesia and analgesia;
injections,intra-articular
- From:
Chinese Journal of Tissue Engineering Research
2014;(9):1325-1330
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Intraarticular cocktail analgesic injection is a popular postoperative analgesia method and can effectively control postoperative pain and relieve side effects after total hip arthroplasty.
OBJECTIVE:To compare and assess the effectiveness and safety of intraarticular analgesic injection or intravenous injection of parecoxib after total hip arthroplasty.
METHODS:A total of 60 patients undergoing total hip arthroplasty were randomly assigned to:treatment group (intraarticular cocktail analgesic injection with morphine, bupivacaine, and compound betamethasone), and control group (intravenous injection of parecoxib). Al patients received tramadol hydrochloride at 24 hours after replacement. Analgesic consumption, visual analog scale at rest and during activity, range of motion, and postoperative complication of patients in each group were recorded.
RESULTS AND CONCLUSION:Intraarticular cocktail analgesic injection significantly reduced analgesic consumption. When comparing visual analog scale scores, rest pain scores were significantly less in the treatment group at 12, 24 and 48 hours after replacement than that in the control group (P<0.05). Scores on range of motion were significantly less in the treatment group at 24 and 36 hours than that in the control group (P<0.05). No significant differences in total complications were detectable between the treatment and control groups (P>0.05). Results suggested that intraarticular cocktail analgesic injection lessened analgesic consumption after replacement, relieved early pain after replacement, and contributed to early rehabilitation of patients. Moreover, no significant adverse reactions were visible.
