超声引导下股三角区域阻滞对老年患者膝关节置换术后Barthel评分及康复效果影响分析

doi:10.3969/j.issn.2095-378X.2026.02.007

外科研究与新技术（中英文） ›› 2026, Vol. 15 ›› Issue (2): 127-132.doi: 10.3969/j.issn.2095-378X.2026.02.007

超声引导下股三角区域阻滞对老年患者膝关节置换术后Barthel评分及康复效果影响分析

李俊¹, 姜定君², 徐嫒娜¹, 陈盛岚¹

1.江苏省东台市人民医院麻醉科, 江苏东台 224200;
2.江苏省东台市人民医院骨科, 江苏东台 224200

收稿日期:2025-11-04 出版日期:2026-06-28 发布日期:2026-07-08
通讯作者: 陈盛岚,电子信箱：18064883@qq.com
作者简介:李俊（1991—）,女,学士,主治医师,从事临床麻醉科工作

Effect of ultrasound-guided femoral triangle block on postoperative Barthel scores and rehabilitation outcomes in elderly knee arthroplasty patients

LI Jun¹, JIANG Dingjun², XU Aina¹, CHEN Shenglan¹

1. Department of Anesthesiology, Dongtai People's Hospital, Dongtai 224200, Jiangsu, China;
2. Department of Orthopedics, Dongtai People's Hospital, Dongtai 224200, Jiangsu, China

Received:2025-11-04 Online:2026-06-28 Published:2026-07-08

摘要/Abstract

摘要： 目的比较超声引导下股三角区域阻滞（FTB）与收肌管阻滞（ACB）对患者术后自理能力（Barthel指数）及认知功能简易智力状态检查量表（MMSE）评分等的影响,以探讨不同区域阻滞麻醉方案的优化选择。方法回顾性纳入88例确诊为老年膝关节退行性骨关节病且接受膝关节置换术患者,根据外周神经阻滞方式分为FTB组（46例）与ACB组（42例）,对比分析两组麻醉恢复指标、疼痛评分视觉模拟评分法（VAS）评分、MMSE和Barthel评分。结果 FTB组麻醉恢复时间短于ACB组,麻醉优良率高于ACB组（97.83% vs 83.33%, P<0.05）;FTB组麻醉后各时点（12 h、24 h、72 h）VAS评分（静息与活动状态）低于ACB组,MMSE和Barthel评分均高于ACB组,差异均有统计学意义（P<0.05）;FTB组的不良反应发生率明显低于ACB组（6.52% vs 26.19%, P<0.05）。结论相较于ACB,FTB用于老年膝关节置换术更具优势,能促进麻醉恢复、减轻疼痛与认知影响、提升生活能力,且安全性更好,有助于加速术后康复。

关键词: 膝关节置换术, 股三角区域阻滞, 收肌管阻滞, 加速康复外科, 简易智力状态检查量表评分, 巴塞尔指数

Abstract: Objective To compare the effects of ultrasound-guided femoral triangle block （FTB） versus adductor canal block （ACB） on patients' postoperative self-care ability （Barthel Index） and cognitive function Mini-Mental State Examination （MMSE） score. Methods A total of 88 elderly patients with degenerative knee osteoarthritis and receiving knee arthroplasty were retrospectively included and divided into the FTB group （n=46） and the ACB group （n=42） according to the method of peripheral nerve block. Indicators including anesthesia recovery, pain score visual analog scale （VAS） score, MMSE score, and Barthel Index were compared and analyzed between the two groups. Results The FTB group showed shorter anesthesia recovery time, higher excellent-good rate of anesthesia 97.83% vs 83.33%, P<0.05, lower resting and activity VAS scores at various time points after anesthesia （12 h, 24 h, and 72 h）, as well as higher MMSE and Barthel Index scores than the ACB group （P<0.05）. The incidence of adverse reactions was significantly lower in the FTB group than in the ACB group （6.52% vs 26.19%, P<0.05）. Conclusion Compared to ACB, FTB demonstrates greater advantages for elderly total knee arthroplasty. It promotes anesthesia recovery, alleviates pain and adverse cognitive impact, enhances self-care ability, offers better safety, and contributes to enhanced recovery after surgery.

Key words: Total knee arthroplasty, Femoral triangle block, Adductor canal block, Enhanced recovery after surgery, Mini-Mental State Examination score, Barthel index

中图分类号:

R614.4

李俊, 姜定君, 徐嫒娜, 陈盛岚. 超声引导下股三角区域阻滞对老年患者膝关节置换术后Barthel评分及康复效果影响分析[J]. 外科研究与新技术（中英文）, 2026, 15(2): 127-132.

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超声引导下股三角区域阻滞对老年患者膝关节置换术后Barthel评分及康复效果影响分析

Effect of ultrasound-guided femoral triangle block on postoperative Barthel scores and rehabilitation outcomes in elderly knee arthroplasty patients

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