Comparison of the outcome of intra-articular injection of cocktail and betamethasone injection after rotator cuff repair
10.16571/j.cnki.1008-8199.2018.12.013
- VernacularTitle: 肩袖修补术后关节内注射倍他米松联合罗哌卡因的临床疗效对比
- Author:
Qing-gang CAO
1
;
Jian-ning ZHAO
1
;
Ni-rong BAO
1
Author Information
1. Department of Orthopaedic Surgery, Jinling Hospital, Nanjing University School of Medicine / Nanjing General Hospital of Nanjing Military Region,PLA,Nanjing 210002, Jiangsu, China
- Publication Type:Journal Article
- Keywords:
cocktails;
arthroscopy;
rotator cuff；pain
- From:
Journal of Medical Postgraduates
2018;31(12):1289-1292
- CountryChina
- Language:Chinese
-
Abstract:
Objective Shoulder surgery is associated with moderate to severe pain, but there is a lack of consensus on the best analgesic method. This study was conducted to evaluate whether intra-articular injections of cocktails (betamethasone hydrochloride combined with ropivacaine) achieved better clinical effects than betamethasone hydrochloride alone after arthroscopic rotator cuff repair.Methods Eighty-six patients with rotator cuff repair under arthroscopy in our hospital from March 2017 to October 2017 were selected and divided into experiment group( ropivacaine75 mg+(betamethasone hydrochloride 2 mL) and control group((betamethasone hydrochloride 4 mL), each group 43. Visual acuity score(VAS) and the satisfaction of patients were evaluated before operation and at 4, 8, 12, 24, 48 h postoperatively.Results There was no significant difference in VAS before operation and 48 h after operation between experimental group and control group (P>0.05). But at 4, 8, 12 and 24 h after operation the VAS in experimental group is lower than that in control group(P<0.05); At 4, 8, 12 and 24 h after operation the satisfaction of patients in experimental group is higher than that in control group (P＜0.01) and at 48h after operation there was no significant difference between the two groups(P>0.05).Conclusion Cocktail (betamethasone combined with ropivacaine) intra-articular injection can significantly reduce the postoperative earlier pain within 24 hours and can improve the satisfaction of patients.
