经穴置管PCA泵给药治疗老年骨质疏松椎体压缩性骨折疼痛  

Clinical study of continuous point infusi on by PCA ontreatment of osteoporosis vertebral body compression fractures pain in older patients

作　　者：陈大燕[1] 李海波[1] 高泉[1] 邵建文[1] 杨韵锋[1] 

机构地区：[1]广东省佛山市南海区中医院麻醉科,广东佛山528000

出　　处：《中国现代医学杂志》2005年第15期2353-2355,共3页China Journal of Modern Medicine

摘　　要：目的探索一种尽快消除老年骨质疏松椎体压缩性骨折疼痛的治疗方法。方法选择56例骨质疏松压缩性骨折疼痛患者,根据治疗方法的不同,随机分成2组:治疗组(PCA组)和对照组(常规治疗组)。分组进行治疗并观察其疗效。结果治疗组镇痛效果优良率达82.8%,对照组镇痛效果的优良率40.7%,两组之间镇痛效果差异有显著性(P<0.01)。治疗组生活质量分数较好率(41分以上)达79.3%。对照组生活质量分数较好率(41分以上)22.2%,两组之间生活质量分数差异有显著性(P<0.01)。结论穴位置管PCA泵给药能尽早和有效的控制疼痛,为老年骨质疏松压缩性骨折疼痛患者提高生活质量提供了一种新的治疗方法。[Objective] To investigate the effects of treatment of osteoporosis vertebral body compression fractures pain in older patients. [Methods] Fifty-six older osteoporosis vertebral body compression fractures patients were randomly divided into two groups： treatment group （PCA group ） and contrast group （normal treatment group）. The curative effect was observed in two group base on different treat method. [Result] The rate of choiceness on effect of analgesia is 82.8% in treatment group （PCA group ） and 40.7% in contrast group （normal treatment group）. There were significant differences in effect of analgesia between the two groups （P 〈0.01）. The rate of preference on life quality points （above 41 points） is 79.3% in treatment group and 22.2% in contrast group. There were significant differences in the rate of preference on life quality points （P 〈0.01）. [Conclusion ] This study shows that continuous point infusion by PCA can effect control pain and gave older osteoporosis vertebral body compression fractures pain patients a new treat method to improve life quality.

关 键 词：骨质疏松疼痛 PCA止痛 生活质量 

分 类 号：R681.55[医药卫生—骨科学]