局部应用地塞米松或当归液以减低术后腰背痛发生的临床观察  

The clinical observation of local application dexasone or Chinese angelica parenteral solution for reduce postoperative low back pain

作　　者：吴论[1] 刘志群[1] 戚志超[1] 

机构地区：[1]广州中医药大学中山附属医院,广东中山528400

出　　处：《海南医学》2005年第6期35-36,共2页Hainan Medical Journal

摘　　要：目的探讨硬膜外穿刺时,局部应用地塞米松或当归注射液对术后腰背痛发生的影响,通过临床观察寻找一种预防和减轻这一不良反应的方法。方法选择ASAⅠ～Ⅱ级施硬膜外阻滞麻醉的病人,随机分为3组,每组150例,A组为硬膜外穿刺前作局麻时单纯用利多卡因组;B组为为利多卡因加地塞米松组;C组为利多卡因加当归注射液组。观察三组对术后腰背痛发生的影响。结果经VAS评定,发现B组和C组均可明显减低和减轻其发生率及疼痛程度,差异显著(P<0.01)。结论硬膜外穿刺前作局麻时,配伍地塞米松或当归液可有效减低和减轻术后发生腰背痛的概率及疼痛程度。Objective To investigate the effect of local application dexasone or Chinese angelica parenteral solution for reduce postoperative low back pain for epidural puncture and search for a new therapy for postoperative low back pain. Methods Four hundred and fifty adult patients were enrolled in this study. All patients were randomly divided into three groups with 150 cases each group A merely received merely lidocaine in local anesthesia group B received lidocaine and dexasone group C received lidocaine and Chinese angelica parenteral solution. The therapeutic efficacy were measured. Results The incidence of pain and degree pain in group B and group C were lower as compared with group A by visual analogue scales P<0.01. Conclusions The incidence of pain and degree pain were lower with lidocaine combined with dexasone or Chinese angelica parenteral solution during epidural puncture

关 键 词：硬膜外穿刺 腰背痛 地塞米松 当归 临床观察 

分 类 号：R971.2[医药卫生—药品]