三次注射周周关节阻塞与双次下周关节阻塞用于全膝关节整形术:双盲随机对照研究
Moustafa Abdelaziz Moustafa1, Ahmad Samir Alabd1, Aly Mahmoud Moustafa Ahmed1
1Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Anesthesia and pain medicine
|February 10, 2026
概括
三次注射Peri-Sartorius (TIPS) 阻断显著改善了全膝关节整形术 (TKA) 后的疼痛控制,相比于双次下膝关节阻断 (DSB). 提示降低疼痛评分和阿片类药物使用,增强恢复.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 有效的术后疼痛管理对于全膝关节整形术 (TKA) 恢复至关重要.
- 三次注射周周-萨托里乌斯 (TIPS) 阻断是一种新的周周手术止痛方法.
- 将TIPS与双子关区块 (DSB) 进行比较可以优化疼痛控制策略.
研究的目的:
- 评估TIPS阻断与DSB在TKA患者术后疼痛控制中的有效性.
- 为了比较两个块技术之间的视觉模拟量表 (VAS) 疼痛得分.
- 评估TKA后的阿片类药物消费和功能恢复指标.
主要方法:
- 88名TKA患者被随机分配到DSB和TIPS组.
- DSB组接受了大腿三角和远端道道阻塞.
- TIPS组接受了DSB,再加上对条肌肤表面的超关注射.
主要成果:
- TIPS组在术后4,8小时和12小时显示出明显较低的静止和动态VAS得分 (P < 0.001).
- TIPS组的患者需要显著减少吗啡,并且有更长的时间来首次要求止痛药 (P < 0.001).
- 两组之间的定时上下或30人椅子站测试中没有发现显著差异.
结论:
- 与DSB相比,TIPS块在TKA后提供了优越的术后止痛.
- 在DSB上添加上上注射可有效缓解疼痛,降低阿片类药物需求.
- 提示块确保了运动节约止痛,而不会对TKA后的功能恢复产生负面影响.
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