Abstract：Objective: To explore the effect of local infiltration anesthesia around the incision on postoperative pain relief after hallux valgus surgery.Methods: From March 2022 to July 2022, 70 patients undergoing hallux valgus osteotomy and orthopedic surgery at the Foot and Ankle Surgery Center of Beijing Tongren Hospital affiliated to Capital Medical University were randomly selected and divided into experimental group and control group according to different postoperative analgesia methods, with 35 patients in each group. The control group was given intravenous analgesia pump analgesia after surgery, while the experimental group was given local infiltration anesthesia with 0.375% ropivacaine around the surgical incision on the basis of intravenous analgesia pump analgesia after surgery. The scores of VAS at 6, 18, 24 and 48 hours after surgery, the dosage of postoperative painkillers, the number of compressions of the intravenous analgesic pump the incidence of recent complications after surgery, and the satisfaction of patients with postoperative pain control were compared between the two groups. Results: The VAS pain scores in the experimental group were 1.17±0.954, 1.80±0.868, and 1.74±1.172 at 6, 18 and 24 hours after surgery, respectively, lower than those 2.57±2.160, 4.27±1.886, and 3.66±1.984 in the control group, with a statistically significant difference (P<0.05). The VAS score at 48 hours after operation in the experimental group was 1.26±0.980, and 1.69±1.078 in the control group, there was no significant difference between the two groups (P>0.05). The postoperative analgesic doses of hydrocortisone, celecoxib, flurbiprofen axetil and number of compressions of the intravenous analgesic pump in the control group were 603.43±282.811mg, 285.71±176.806mg, 40.87 (0,150) mg, and 9(6,10.25) respectively, which were significantly higher than those in the experimental group (278.14±214.655mg, 205.71±141.302mg, 30.13 (0,400) mg) and 4.5(3,6.75), with a significant difference(P<0.05). The incidence of recent complications such as incision effusion, fat liquefaction, and incision redness and swelling in the experimental group were 5.71%, 2.85%, and 8.57%, respectively. there was no statistically significant difference compared to 8.57%, 0%, and 2.85% in the control group(P>0.05). The postoperative pain satisfaction of the experimental group was higher than that of the control group, with a statistically significant difference (P<0.05). Conclusion: Local infiltration anesthesia around the incision can reduce the degree of postoperative pain in patients with hallux valgus, reduce the dosage of postoperative pain relievers and the number of compressions of the intravenous analgesic pump, improve patient satisfaction with pain control, and do not increase the incidence of recent complications after surgery. It is worthy of clinical promotion and application.
聂志红, 王巍, 张明珠, 张琳, 王克涛. 切口周围局部浸润麻醉对拇外翻术后镇痛效果的影响[J]. 河北医学, 2024, 30(3): 474-479.
NIE Zhihong, WANG Wei, ZHANG Mingzhu, et al. The Effect of Local Infiltration Anesthesia around the Incision on Postoperative Analgesic Effect of Hallux Valgus Surgery. HeBei Med, 2024, 30(3): 474-479.
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2024, Vol. 30 
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