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首页> 外文期刊>Anesthesia and Analgesia: Journal of the International Anesthesia Research Society >Pain After Unilateral Total Knee Arthroplasty: A Prospective Randomized Controlled Trial Examining the Analgesic Effectiveness of a Combined Adductor Canal Peripheral Nerve Block with Periarticular Infiltration Versus Adductor Canal Nerve Block Alone Versus Periarticular Infiltration Alone
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Pain After Unilateral Total Knee Arthroplasty: A Prospective Randomized Controlled Trial Examining the Analgesic Effectiveness of a Combined Adductor Canal Peripheral Nerve Block with Periarticular Infiltration Versus Adductor Canal Nerve Block Alone Versus Periarticular Infiltration Alone

机译：单侧全膝关节置换术后的疼痛：前瞻性随机对照试验，研究了联合引药管周围神经阻滞合并关节周围浸润对单纯引渡管神经阻滞的镇痛效果

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BACKGROUND: Total knee arthroplasty is a painful surgery that requires early mobilization for successful joint function. Multimodal analgesia, including spinal analgesia, nerve blocks, periarticular infiltration (PI), opioids, and coanalgesics, has been shown to effectively manage postoperative pain. Both adductor canal (AC) and PI have been shown to manage pain without significantly impairing motor function. However, it is unclear which technique is most effective. This 3-arm trial examined the effect of AC block with PI (AC + PI) versus AC block only (AC) versus PI only (PI). The primary outcome was pain on walking at postoperative day (POD) 1.
机译：背景：全膝关节置换术是一项痛苦的手术，需要早期动员才能成功实现关节功能。多模式镇痛，包括脊柱镇痛，神经阻滞，关节周围浸润（PI），阿片类药物和镇痛药，已被证明可有效治疗术后疼痛。内收管（AC）和PI均已证明可以控制疼痛而不会明显损害运动功能。但是，尚不清楚哪种技术最有效。这项三臂试验研究了使用PI的AC阻滞（AC + PI）与仅使用AC阻滞（AC）对比仅使用PI（PI）的效果。主要结果是术后第1天行走时的疼痛。

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