Clinical Observation On Knee Arthroplasty Combined With Sufentanil PCIA For Lappaconitine Preemptive Analgesia Combined With Postoperative

Objective: To observe lappaconitine preemptive analgesia PCIA joint surgery combined with sufentanil analgesia in knee replacement surgery with or without superiorityMethods: 75 cases of total knee arthroplasty were randomly divided into three groups, A group(control group) alone sufentanil analgesia PCIA group B postoperative Lappaconitine combined with sufentanil PCIA town pain before surgery group C Lappaconitine preemptive analgesia and postoperative analgesia combined with sufentanil PCIA were recorded after 6h, 24 h, 48 h, 48 h, 72 h under static and active visual analog pain scale(VAS), after 12 h, 24 h, 48 h, 72 h,1 and 2 weeks of knee activity(mainly recorded after the initiative after another degree) and side effects(nausea, vomiting, pruritus and postoperative injection of Morphine use the number of times), the use of two weeks after surgery for patients with HSS score table.Results: The control group were sufentanil analgesia PCIA, due to low drug concentrations, poor postoperative analgesia and treatment group were significantly different(P <0.05); Lappaconitine preemptive analgesia combined with postoperative composite Shu PCIA analgesic fentanyl analgesia and analgesic in the incidence of side effects is also superior to the non-preemptive analgesia group, the difference was significant(P <0.05).Conclusion: This study Lappaconitine preemptive analgesia combined with sufentanil combined postoperative analgesia PCIA effect TKA postoperative analgesia by comparing different solutions and found that the treatment group can achieve good analgesia after surgery effect, and the effect of preemptive analgesia superior to a certain extent, complex analgesia; Therefore, this study suggests that preemptive analgesia Lappaconitine joint surgery combined with sufentanil analgesia PCIA can effectively control pain after TKA, safe, reduce the adverse postoperative analgesia after TKA available.