膝关节镜手术是一种微创手术,现已被广泛用于膝关节疾病的诊断和治疗,但膝关节镜术后仍存在不同程度疼痛。关节腔内给予罗哌卡因为膝关节镜术后镇痛提供了一种新方法。本文综述了膝关节镜术后应用罗哌卡因的药动学、药效学及其安全性,为临床合理应用罗哌卡因提供参考。

Arthroscopic knee surgery is one of the most common surgical procedures and has been widely used in the diagnosis and treatment for the diseases of knee joint. However, pain control continues to be a problem postoperatively for many patients. Intra-articular administration of Ropivacaine can provide good efficacy of analgesia after arthro-scopic knee surgery. Pharmacokinetics, pharmacodynamics and safety of Ropivacaine after arthroscopic knee surgery are reviewed in this paper. It will be helpful for clinical reasonable application of Ropivacaine.

目的：探讨膝关节镜术后疼痛的护理干预方法及效果。方法将102例膝关节镜手术患者随机分两组，常规组根据医嘱行膝关节镜手术患者常规护理，观察组除接受常规护理外，再进行系统的疼痛护理干预。结果观察组术后关节肿胀程度，康复时间等均有显著改善，差异有统计学意义(P<0.05)。结论膝关节镜手术后在综合治疗的基础上实施疼痛的系统化护理干预，能显著减轻患者疼痛，明显减少患者痛苦，缩短康复时间，提高手术成功率。

Objective to discuss the arthroscopic nursing intervention method and ef ect of postoperative pain. Methods 102 patients with the arthroscopic surgery were randomly divided into two groups,conventional group according to the doctor''s advice line the arthroscopic surgery patients routine nursing care, observation group except for routine care,pain and systematic nursing intervention. Results observation group joint swel ing degree,postoperative recovery time were improved significantly,the dif erence was statistical y significant (P<0.05). Conclusion the arthroscopic surgery on the basis of comprehensive treatment after implementation of systematic nursing intervention can significantly reduce the patients pain and significantly reduce the patients pain, shorter recovery time, improve the success rate of surgery.

目的：观察关节镜微创手术治疗膝关节半月板损伤的疗效。方法：对我院收治并均经M R I确诊为半月板损伤的64例患者，在关节镜下行关节镜微创手术治疗，术后进行膝关节功能锻炼，Lysholm膝关节评分系统评价治疗效果，并作手术前后统计学分析。结果：64例均获随访，时间为1-36个月，平均9个月。按Lysholm膝关节功能评分标准：术前评分为(42.3±7.5)分，术后24个月时为(83.6±3.8)分，术前术后评分比较有统计学差异(P<0.O1)。术后疗效评定：优48例，良12例，尚可4例，无差病例。结论：关节镜微创手术治疗膝关节半月板损伤是一种创伤小、恢复快、疗效佳，可早期锻炼，安全性较高，且能最大程度保留半月板恢复膝关节功能，值得临床推广应用。

Objective:To observe the efficacy of Minimal y invasive surgery treatment of meniscus injuries under arthroscope.Methods:64 patients in our hospital were diagnosed as meniscus by MRI,and given the Minimal y invasive surgery underwent arthroscopic meniscoplast, Lysholm score system was applied and the scores of pre-and post operation of two groups were compared . Results:Al the patients were fol owed up ranging from 1 to 36 months,averaged 9 months. Under the Lysholm score system ,the scores of pre operation were (42. 3±7.5)and 24 months after operation were(83.6±3.8).There was significant difference(P<0.01). The results were 48 cases excellent, 12 good,4 fair and poor in 0. Conclusion:Minimal y invasive arthroscopic surgery for knee meniscus injury has the advantages of minimal invasion,high security, quick recovery and the early exercise, high security, and can the greatest extent reserves the meniscus to restore knee function, is worthy of clinical application.

目的：对膝关节镜下异体组织重建前交叉韧带患者的手术护理配合进行探讨。方法将32例实施膝关节镜下异体组织前交叉韧带重建治疗的患者为研究对象，对其护理配合进行回顾性分析。结果32例患者，通过充分的术前准备以及无菌、严密的术中护理配合，手术均顺利完成。结论实施膝关节镜下异体组织重建前交叉韧带手术时，充分的术前准备以及严格、无菌的术中护理配合的应用，能够保障手术顺利完成，使患者恢复健康。

Objective Of arthroscopic reconstruction of anterior cruciate ligament allograft tissue surgical care with the patient to discuss. The method will be implemented in the knee 32 cases of endoscopic tissue allograft anterior cruciate ligament reconstruction in patients treated for the study, a retrospective analysis of their care ift. Methods 32 patients with anterior cruciate ligament reconstruction under Arthroscopy Treatment of organization and implementation as the research object, the nursing measures were retrospectively analyzed. Results 32 patients, through adequate preoperative preparation and sterile,tight intraoperative care coordination procedures were successfully completed. Conclusion The implementation of allograft tissue before arthroscopic anterior cruciate ligament reconstruction surgery,adequate preoperative preparation and strict application of intraoperative care with the sterile,able to guarantee the successful completion of the surgery,the patient back to

目的探讨膝关节镜下经皮复位并用可吸收螺钉内固定治疗髌骨骨折的方法和疗效。方法对22例髌骨骨折患者,采用膝关节镜下经皮复位可吸收螺钉内固定术治疗。结果所有病例术后膝关节功能良好,根据胥少汀评分法,优18例（81.8%）,良4例（18.2%）。结论膝关节镜下经皮复位可吸收螺钉内固定术治疗髌骨骨折,创伤小、恢复快、复位确切,能同时探查和处理膝关节其他损伤。可吸收螺钉作为内固定材料无需二次手术取出,但筛选手术病人非常重要。

Objective To investigate the effect of closed reduction and percutaneous screw fixation on the patella fractures by the knee arthroscopy .Methods Twenty-two cases of the patella fractures were treated with ab-sorbable screw through closed reduction and percutaneous screw fixation by the knee arthroscopy .Their clinical data were further analyzed.Results All cases obtained bony union and good functional recovery .According to Xu Shaot-ing score, excellent effectiveness was found in 18 cases(81.8%)and good in 4 cases(18.2%).Conclusion The knee arthroscopic management of the patella fractures not only facilitated accurate reduction but also provied a chance to inspect other knee injuries and diseases .And the technique of closed reduction and percutaneous internal fixation can also make for early postoperative exercises and accelerate recovery .In addition, the second operation suffering may be avoided because of the absorbable screw being used for internal fixation .However, suitable pat