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Review
. 2025 Jun 9:14:99-112.
doi: 10.2147/IPRP.S516724. eCollection 2025.

Rapid Health Evaluation of Analgesia with Long-Acting Local Anesthesia After Hip and Knee Arthroplasty

Xiaoyue Zhang  1 , Mengting Li  1 , Luwen Lei  1
Affiliations
Review

Rapid Health Evaluation of Analgesia with Long-Acting Local Anesthesia After Hip and Knee Arthroplasty

Xiaoyue Zhang et al. Integr Pharm Res Pract. .

Abstract

Purpose: To evaluate the local anesthetic drugs commonly used after hip arthroplasty and knee arthroplasty, and to provide a reference for clinical drug use and drug selection in medical institutions.

Methods: Based on the "Quick Guide for Drug Evaluation and Selection in Chinese Medical Institutions (Second Edition)", the included drugs were evaluated from five dimensions of pharmaceutical properties, effectiveness, safety, economy, and other attributes using a 100-point scoring method.

Results: The quantitative scoring results were ranked from high to low as Dishili-Ropivacaine injection (75 points), Naropin-Ropivacaine injection (68.97 points), liposomal bupivacaine (65.06 points), bupivacaine injection (61.05 points), and levobupivacaine injection (60.35 points).

Conclusion: The Dishili-Ropivacaine injection of the collectible variety is a strongly recommended variety, which is recommended to be introduced or retained in the drug catalog of medical institutions, and the Naropin-Ropivacaine injection and liposomal bupivacaine can be adjusted according to the actual situation and clinical needs of medical institutions.

Keywords: drug selection; local anesthetic drugs; local anesthetics; postoperative analgesic; rapid health evaluation.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

References

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    1. National Clinical Medical Research Center for Geriatric Diseases, National Geriatric Anesthesia Consortium, National Geriatric Anesthesia Consortium, Chinese Society of Anesthesiology Anesthesia Group of Geriatric Anesthesia and Perioperative Management, Chinese Society of Anesthesiology Pain Group. Chinese expert consensus on low opioid regimen for perioperative multimodal analgesia in elderly patients (2021 Edition). Chinese Med J. 2021;101(03):170–184.
    1. Zhigang ZH, Zhanjun DO, Jianping LI. A rapid guide to drug evaluation and selection in Chinese medical institutions. Medicine Herald. 2023;42(04):447–456.
    1. Lei Y, Pei F. Research progress of cocktail therapy in analgesia after total knee arthroplasty. Chin J Bone Joint. 2016;5(12):934–938.

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