지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.1
- 수록면
- 295 - 300 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Several analgesic techniques are available for pain management after a major operation. Materials and methods: From December 2005 to February 2006, a prospective, double-blind study was performed involving 90 patients who had undergone a total knee arthroplasty. Patients were randomly divided into three equal groups (n=30). Demographic data, including age, height, weight, knee score, visual analogue scale (VAS), and range of flexion were evaluated preoperatively. Before wound closure, patients were given intra-synovial injections of the following solutions: patients in group I received 40mL of 300mg ropivacaine with 1:200,000 epinephrine and 5mg morphine; patients in Group II received 40mL of 300mg ropivacaine with epinephrine; and patients in Group III received 50mL normal saline as a control. All patients received an epidural patient-controlled analgesia (PCA) for 24 postoperative hours. Analgesic efficacy was evaluated using the VAS at intervals of 2, 4, 6, 12, 24, 32, 40, and 48 hours postoperatively. During this period, the side effects, the dosage of rescue analgesia required, and the range of knee flexion were recorded for each group. Results: There were no significant differences among the three groups with regards to the VAS and the required dose of rescue analgesia (p>0.05). None of the groups demonstrated significant differences in the range of knee flexion and the incidence of postoperative nausea and emesis (p>0.05). Conclusion: Therefore, we found that ropivacaine, alone or with morphine, injected into the synovial tissue, along with an epidural PCA has no additional benefits in pain control after a total knee arthroplasty.
목차
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참고문헌 (25)
참고문헌 신청
/ / Analgesic effect of intraarticular morphine after arthroscopic knee surgery : 1123 ~ 6
/ / Involvement of capsaicin- sensitive neurones in hyperalgesia and enhanced opioid antinociception in inflammation : 666 ~ 70
/ / Opioids from immunocytes interact with receptors on sensory nerves to inhibit nociception in inflammation : 5935 ~ 9
/ 1997 / Intra-articular morphine and/or bupivacaine in the management of pain after total knee arthroplasty 12 : 546 ~ 552
/ 1997 / The effect of tourniquet release time on the analgesic efficacy of intraarticular morphine after arthroscopic knee surgery 84 : 791 ~ 793
/ / Involvement of capsaicin- sensitive neurones in hyperalgesia and enhanced opioid antinociception in inflammation : 666 ~ 70
/ / Opioids from immunocytes interact with receptors on sensory nerves to inhibit nociception in inflammation : 5935 ~ 9
/ 1997 / Intra-articular morphine and/or bupivacaine in the management of pain after total knee arthroplasty 12 : 546 ~ 552
/ 1997 / The effect of tourniquet release time on the analgesic efficacy of intraarticular morphine after arthroscopic knee surgery 84 : 791 ~ 793
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