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題名 | Regional Nerve Block for Total Knee Arthroplasty=區域性神經阻斷麻醉用於全人工膝關節置換術 |
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作者 | 劉漢平; 葉建文; 江清泉; Lau, Hon-ping; Yip, Kin Man; Jiang, Ching-chuan; |
期刊 | 臺灣醫學會雜誌 |
出版日期 | 19980600 |
卷期 | 97:6 1998.06[民87.06] |
頁次 | 頁428-430 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 區域性神經阻斷麻醉; 全人工膝關節置換術; Regional nerve block; Sciatic nerve; Femoral nerve; Combined 3-in-1 block; Total knee arthroplasty; |
英文摘要 | Femoral and sciatic nerve blocks have been used occasionally for unilateral total knee arthroplasty (TKA). In order to evaluate the effectiveness of this technique, combined femoral 3-in-1 and sciatic nerve blocks were performed in 20 cases of TKA, by the same surgeon. This surgeon also performed unilateral TKA under spinal anesthesia in another 20 cases. The anesthetic effectiveness of the two types of anesthesia was compared in terms of the time needed to complete the surgery, amount of intraoperative blood loss, and time interval until the first dose of analgesic. The results showed that the two types of anesthesia had comparable anesthetic effects. Ten of the 20 patients who had spinal anesthesia complained of postoperative urinary retention, while none of those who had nerve block had this complaint. Neither group experienced postpunctural headache, neurovascular damage, or drug-over-dose toxicity. We conclude that combined femoral 3-in-1 and sciatic nerve block is an effective anesthetic alternative for unilateral TKA. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。