Influence of Continuous Fascia Iliaca Compartment Block and Adductor Canal Block with Multimodal Analgesia on Postoperative Analgesia and Early Rehabilitation after Elderly TKA Surgery
10.16156/j.1004-7220.2019.01.15
- VernacularTitle:多模式镇痛下持续髂筋膜间隙阻滞与收肌管阻滞对老年人全膝关节置换术后镇痛及早期康复的影响
- Author:
Guifang YU
1
;
Chao JIANG
1
Author Information
1. Department of Anesthesiology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine
- Publication Type:Journal Article
- Keywords:
fascia iliaca compartment block (FICB);
adductor canal block (ACB);
postoperative pain;
pain measurement;
total knee arthroplasty (TKA);
rehabilitation
- From:
Journal of Medical Biomechanics
2019;34(1):E098-E102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the analgesia efficacy of continuous fascia iliaca compartment block (FICB) and adductor canal block (ACB) on elderly patients undergoing total knee arthroplasty (TKA) with multimodal analgesia and their early rehabilitation. Methods Sixty TKA patients (26 female and 34 male, 60-75 years old) were randomly divided into two groups and received ultrasound-guided either continuous FICB (n=30) or continuous ACB (n=30) using 0.25% ropivacaine for controlled analgesia. All the patients had no previous experiences of knee surgery. Quality of analgesia was assessed by dynamic and static visual analogue scale (VAS) based on pain intensity. In addition, rehabilitation training compliance, range of motion (ROM) and knee function were assessed at different times after rehabilitation training. Results No significant differences were found in VAS scores during resting and passive functional exercise at 6, 12, 24, 48 h after TKA surgery (P>0.05); ACB group had significant differences in rehabilitation training compliance, knee ROM and HSS scores in comparison with FICB group (P<0.05). Conclusions Ultrasound-guided continuous ACB with multimodal analgesia could promote early rehabilitation after TKA．
