胫腓骨骨折术后镇痛的研究进展

Advancement of postoperative analgesia of tibia and fibula fracture

关键词:  区域阻滞  胫腓骨骨折  切开复位内固定  术后镇痛

Key words:  regional block  tibia and fibula fracture  open reduction and internal fixation  postoperative analgesia

摘要:

胫腓骨骨折是最为常见的下肢骨折，切开复位内固定术是最常用的治疗方法。但术后会产生持续而剧烈的疼痛，如果术后疼痛不能得到有效的控制，不仅会影响伤口的早期愈合，更有甚者会导致慢性神经病理性疼痛。胫腓骨骨折术后镇痛的方法有硬膜外镇痛（PCEA）、药物镇痛和患者自控静脉镇痛（PCIA），但近年来周围神经阻滞技术由于镇痛效果好，不良反应少，而被广泛应用于临床工作中。本文总结现有文献综述胫腓骨骨折术后镇痛的研究进展。

Abstract:

Tibia and fibula fractures are the most common lower extremity fractures. Open reduction and internal fixation is the most common treatment. However, sustained and severe pain occurs after surgery. If postoperative pain cannot be effectively controlled, it will not only affect the early healing of the wound, but also cause chronic neuropathic pain. Epidural analgesia (PCEA), drug analgesia, and patient-controlled intravenous analgesia pump (PCIA) are common analgesic methods. In recent years, peripheral nerve block technology is widely used in clinical work for its good analgesic effect and less adverse reactions. This article summarized the current the progress in postoperative analgesia of tibia and fibula fracture.