Early Analgesic Effect of Continuous Femoral Nerve Block for Total Knee Arthroplasty

Pang Jia Ning; Liu Jing Song; Li Xi; Wang Li Zhu; Zhang Xi Hua

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Article Navigation > Journal of Kunming Medical University > 2016 > 37(11): 64-69

Pang Jia Ning , Liu Jing Song , Li Xi , Wang Li Zhu , Zhang Xi Hua . Early Analgesic Effect of Continuous Femoral Nerve Block for Total Knee Arthroplasty[J]. Journal of Kunming Medical University, 2016, 37(11): 64-69.

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Pang Jia Ning , Liu Jing Song , Li Xi , Wang Li Zhu , Zhang Xi Hua . Early Analgesic Effect of Continuous Femoral Nerve Block for Total Knee Arthroplasty[J]. Journal of Kunming Medical University, 2016, 37(11): 64-69.

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Early Analgesic Effect of Continuous Femoral Nerve Block for Total Knee Arthroplasty

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基金：云南省科技厅应用基础研究联合专项基金资助项目(2013FB144);

Received Date: 2016-06-21

Abstract

Abstract

Objective To compare the early analgesic effects of continuous femoral nerve block analgesia(CFNB) and patient controlled intravenous analgesia(PCIA) and their effects on functional recovery after total knee arthroplasty. Methods Retrospective analysis was conducted on 60 ASA I and ASA II patients with unilateral total knee arthroplasty in our hospital from January 2014 to January 2015. The patients were divided into two groups,CFBN group(treatment group) and PCIA group(control group),with 30 patients in each group. VAS scores of postoperative ipsilateral knee resting and movement pain, range of postoperative knee joint motion(ROM),muscle strength of femoral quadriceps,incidence rates of adverse reaction within 7 days after operation,HSS score3 months before and after the operation,and discharge time were observed. Results Postoperative VIS score in CFNB group was lower than that in PCIA group.ROM and muscle strength of femoral quadriceps in CFBN group were better than those in PCIA group on day 1, 2, 3, 5, and 7 after the operation. Postoperative adverse reaction rate within 7 days in PCIA group was significantly higher than that in CFNB group. HSS score three months after the operation in CFNB group was higher than that in PCIA group. Discharge time of CFNB group was significantly earlier than that of PCIA group(P<0.05). Conclusion Compared with PCIA analgesia,CFNBanalgesia shows better analgesic effect. It can alleviate early knee joint pain after TKA, increase joint motion,significantly shorten the hospitalization time, promote joint exercises which are effective in functional rehabilitation, and decrease the incidence of adverse reactions like nausea and vomiting.
- Femoral nerve block analgesia,
- Intravenous analgesia,
- Resting pain,
- Movement pain,
- Rang of motion

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References(19)

References

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