腱板修復術後の除痛に創部への局所麻酔薬は有効か？

概要

論文の詳細を見る
Postoperative pain from cuff repair surgery is so severe that it may influence postoperative rehabilitation, and often lead to complex regional pain syndrome. This study investigated the effect of local anesthetic use before skin closure. 15 patients (average age 56.1 years old ) undergoing rotator cuff repair surgery were studied. They received local anesthetic (0.5% pubivacaine: 20-30cc) infiltrated into the wound and joint before skin closure. In addition, 15 patients (average age 54.1 years old) who did not receive a local anesthetic were studied as the control. Pain intensity after surgery was measured by the amount of NSAID (Diclofenac Na) and opioid (Pentazocine) used within 48 hours after surgery. The degree of flexion at 3, 6 months after surgery and the clinical results using the JOA score were evaluated. The amount of NSAID (110±67.3 mg) was significantly(p< 0.01) lower than that in the control group(176±70.0 mg ). The amount of opioid (4.0±6.87 mg) was significantly(p< 0.01) lower than that in the control group(17.0±13.73 mg). There was no significant difference between the two groups in either the degree of flexion or the clinical result. Local anesthetic use into the wound and joint before skin closure was an effective method of pain control and it did not influence the clinical result.
日本肩関節学会の論文