全膝关节置换术后镇痛治疗进展
Advances in Analgesic Therapy after Total Knee Arthroplasty
DOI: 10.12677/acm.2026.1651822, PDF,   
作者: 曾昭荣, 李吉辉：暨南大学第二临床医学院，深圳市人民医院骨关节外科，广东 深圳；徐忠世*：深圳市人民医院(南方科技大学第一附属医院，暨南大学第二临床医学院)骨关节外科，广东 深圳
关键词: 全膝关节置换术；术后镇痛；局部浸润麻醉；外周神经阻滞；Total Knee Arthroplasty； Postoperative Analgesia； Local Infiltration Anesthesia； Peripheral Nerve Block
摘要: 全膝关节置换术(TKA)目前已取得显著进步，但其术后疼痛的控制仍是一个较大的挑战。常见的阿片类药物并不总是能有效缓解疼痛且常伴不良反应。随着手术技术和药理学的进步，运用药物镇痛、局部浸润麻醉、外周神经阻滞以及非药物手段的联合镇痛模式才是TKA后疼痛的有效管理方案。本文就总结目前全膝关节置换手术围手术期疼痛控制的研究，介绍相关镇痛方式以减少或替代阿片类药物的使用并评估其有效性。
Abstract: Total knee arthroplasty (TKA) has made significant progress, but the control of postoperative pain remains a major challenge. Common opioid drugs do not always effectively relieve pain and are often accompanied by adverse reactions. With the advancement of surgical techniques and pharmacology, a combined analgesic mode using drug analgesia, local infiltration anesthesia, peripheral nerve block, and non-drug methods is the effective management plan for pain after TKA. This article summarizes the current research on pain control during the perioperative period of total knee arthroplasty, introduces relevant analgesic methods to reduce or replace the use of opioid drugs, and evaluates their effectiveness.
文章引用：曾昭荣, 李吉辉, 徐忠世. 全膝关节置换术后镇痛治疗进展[J]. 临床医学进展, 2026, 16(5): 329-337. https://doi.org/10.12677/acm.2026.1651822

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