经关节注射阿片类药物用于膝关节置换后镇痛现状与进展.pdfVIP

中国组织工程研究 第 19誊 第 37筋 2015—09—10出版 ChineseJournalofTissueEngmeefingResearch September10,2015 Vo1．19．No37 Ⅵ CRTER．org A-rt0icuI■ari■nI■ect0ionot·op-io0ids‘t·orpoStJoperatI●VePal■n managementofkneearthroplasty：currentstatus and pro reSS ● ， ZhangMiao’ZhangXu．ran’SunYu ， ， 1No 3SurgicalW ard，DepartmentofOrthopaedics，FuxinCentralHospital，Fuxin123000，LiaoningProvince，China 2DepartmentofOrthopaedics，FirstHospitalofChinaMedicalUniversity，Shenyang 110001，LiaoningProvince，China Abstract BACKGR0UND：Articularinjectionsofopioidsarewidelyadoptedforpainmanagementoftotalknee ZhangMiao，Master, arthroplasty，withbothperi—articularandintra—articularadministrationroutes．Recentstudieshaveindicatedthat Associatechiefphysician， No 3SurgicalWard， commonlyusedanesthetics，steroidsandnon—steroidalanti—inflammatorydrugsareassociatedwithpotentiaI DepartmentofOrthopaedics， adverseeffects．PeripheralopioidsarerelativelysafewithIowercomplicationrates，butgreatcontroversyexits FuxinCentraIHospita1．Fuxin regardingtheanalgesiceffects． 123000，LiaoningProvince， OBJECTIVE：Tointroducethecurrentclinicalapplicationstatusandbasicresearchprogressinperi．articular China andintra—articularopioidinjectionsforpostoperativeanalgesiaofkneearthroplasties METHODS：Acomputer-basedsearchInPubMedandEmbasedatabaseswasconductedforclinicalandbasic Correspondingauthor：Zhang researcharticlesrelatedtopainmanagementofkneearthroplastiesusingperi—articularandintra—articular Miao，No．3SurgicalWard， injectionsofopioidspublishedfr0mJanuary1967toMay2015usingthekeywordsofo“pioids；peri．articular DepartmentofOrthopaedics， injection；antra-articularinjection；analgesia；kneearthroplasty”inEnglish．Irrelevant，poorlyrelatedand FuxinCentraIHospita1．Fuxin repetitivestudieswereexcluded． 123000，LiaoningProvince． ChJna RESULTSANDCoNCLUSlON：Peri—articularandantra—articularopioidsinjectionplansvarygreatlybetween differentinstitutions，whichdoesnotsupportreliablequantitativedatasynthesisoframeta．analysis Controversyexistsregardingits