Study on pain control of continuous adductor block analgesia after primary knee replacement.
10.12200/j.issn.1003-0034.2020.12.013
- Author:
Shan-Zheng WANG
1
;
Chen WANG
1
;
Yu-Dong GUO
1
;
Juan YAO
1
;
Li-Li QIU
1
;
Lu-Xin HUANG
1
;
Jue XIE
1
Author Information
1. Department of Anesthesiology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, knee;
Pain;
Postoperative complications
- MeSH:
Aged;
Arthroplasty, Replacement, Knee/adverse effects*;
Female;
Humans;
Male;
Middle Aged;
Nerve Block;
Pain Management;
Pain, Postoperative;
Retrospective Studies
- From:
China Journal of Orthopaedics and Traumatology
2020;33(12):1156-1160
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect of continuous adductor block on pain control after bilateral knee joint Ⅰ stage replacement.
METHODS:A retrospective analysis was made of the data of 24 patients with bilateral knee joint I stage replacement who were treated in our hospital from January 2018 to January 2019, and who underwent continuous adductor block analgesia. There were 6 males and 18 females, aged 60 to 72 (65.05±5.82) years old. The patients underwent continuous block of adductor canal with patient-controlled analgesia system. At 4, 6, 12, 24, 36 and 48 hours after operation, visual analogue score(VAS) of resting state and passive motion state was performed;the knee joint activity was followed up for 1 week, 1, 3 and 6 months after operation;the knee joint function was scored at 6 months after operation, using the knee joint scoring standard of American Special Surgery Hospital(HSS);adverse reactions and complications were recorded.
RESULTS:The VAS scores under resting state and passive motion state at each time point were less than 3 points in patients with continuous adductor block. The patients had better postoperative exercise of knee joint activity. The score of HSS was excellent in 20 cases, good in 2 cases, fair in 1 case and poor in 1 case. There were only 4 cases of nausea and vomiting, none of them had serious adverse reactions and complications such as bradycardia and deep vein thrombosis.
CONCLUSION:Continuous adductor block has a significant effect on pain control and less adverse reactions after bilateral knee jointⅠ -stage replacement.
