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改良鸡尾酒镇痛疗法应用于踇外翻微创截骨术中的疗效:一项回顾性病例研究

 

Authors Liu J, Zhang T, Wang Z, He T, Xiong W, Cui Y, Li Z, Yang F, Liu B

Received 22 August 2025

Accepted for publication 22 December 2025

Published 8 January 2026 Volume 2026:19 558076

DOI https://doi.org/10.2147/LRA.S558076

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Stefan Wirz

Jiahe Liu,1,* Tao Zhang,1,2,* Zewen Wang,1 Ting He,1,2 Wanqi Xiong,1 Yan Cui,1 Zhenhao Li,1 Fan Yang,1 Baoyi Liu1 

1Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, People’s Republic of China; 2Graduate School of Dalian Medical University, Dalian, Liaoning, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Baoyi Liu, Email liubaoyi-513@163.com
摘要 目的 探讨评价改良鸡尾酒疗法对踇外翻微创截骨术后镇痛的疗效。 方法 采用回顾性队列研究分析20201月至202312月在我院收治的90例中、重度踇外翻患者的临床资料根据处理方法及患肢例数分为使用MICA联合改良鸡尾酒的改良组(Imp)、MICA联合传统鸡尾酒的传统组(Tro)、未联合鸡尾酒疗法的对照组(NC)。观察比较3组患者从术前6h至术后14d的足踝部疼痛视觉模拟评分(VAS)、术后药物补救情况、不良反应及并发症。 结果 组年龄、BMI等基本情况均无明显差异;在性别方面符合踇外翻流行病学统计结果。改良组术后6h1dVAS评分分别为(0.67±0.60)分、(0.68±0.59)分,均低于传统组的(0.82±0.50)分、(0.78±0.90)分(P<0.05);改良组术前6h、术后7d14dVAS差异无统计学意义(P>0.05)。改良组患者术后使用止痛药物补救5例(5.56%),显著少于传统组的12例(P<0.05)。结论 综合统计结果与临床意义来看,改良鸡尾酒疗法在MICA术后短期镇痛管理中具有一定临床参考价值,有利于患者术后早期康复功能锻炼,安全效果较好,可作为术后早期疼痛控制的可选方案,但需客观认识其疗效优势的时效性,其长期镇痛效果与传统鸡尾酒疗法及单纯MICA术式无明显临床差异。