羟考酮联合股神经阻滞麻醉对膝骨性关节炎患者单侧膝关节置换术后镇痛效果的影响

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目的探究羟考酮联合股神经阻滞麻醉对行单侧膝关节置换术的膝骨性关节炎患者术后镇痛效果的影响。方法选取2015年8月至2017年8月我院行单侧膝关节置换术的膝骨性关节炎患者74例,采用随机数表法分组,各37例。对照组术前口服吗啡,观察组口服羟考酮,术后两组均行股神经阻滞麻醉。结果术后24、48 h观察组VAS评分低于对照组,差异有统计学意义(P<0.05);术后24、48、72 h观察组患侧膝关节活动度高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率10.81%(4/37)较对照组
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