Đánh giá hiệu quả giảm đau sau phẫu thuật nội soi khớp gối của phương pháp gây tê liên tục thần kinh đùi kết hợp gây tê thần kinh hông to dưới hướng dẫn siêu âm

Abstract

Objective: Comparative study of ultrasound - guided continuous femoral nerve block and single shot sciatic nerve block with epidural analgesia for pain relief following  the knee arthroscopy surgery. Subject and method: A randomized controlled clinical trial, 60 patients with knee arthroscopy surgery were divided into 2 groups: Group 1 received epidural anesthesia, group 2 received continuous femoral nerve blockade and single shot sciatic nerve block for postoperative anesthesia. Result: The mean VAS pain at rest and movement of the two groups was similar at most of the research time. Quality analgesia was excellent and good was 93.3% in the continuous femoral nerve blockade and single shot sciatic nerve block group compared with 96.7% in the epidural group. The rate of successful anesthesia was 100% compared to 96.7% in the epidural group. Conclusion: Ultrasound - guided continuous femoral nerve blockade and single shot sciatic nerve block have been shown to be effective as well as epidural analgesia for pain relief following the knee arthroscopy surgery.