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作 者:杨金利[1] 李仲廉[1] 纪文新[1] 朱秀敏[2] 冯金花[2]
机构地区:[1]天津中医学院附属第一医院除痛中心,天津300193 [2]天津市第一中心医院麻醉科祛痛门诊
出 处:《中国疼痛医学杂志》2005年第6期334-336,共3页Chinese Journal of Pain Medicine
摘 要:目的观察益钙宁(依降钙素)以及益钙宁和多瑞吉合用治疗骨质疏松急性爆发性骨痛的镇痛效果。方法57例老年骨质疏松爆发性骨痛患者,年龄58~92岁,平均为67.4岁,疼痛强度VAS评分为9.0±0.4,疼痛持续时间为3~8天。A组采用益钙宁20U肌肉注射,2次/W;B组益钙宁20U肌注,2次/W+多瑞吉1.25mg^2.5mg/72h。每3天评估VAS评分及临床症状、体征一次。结果两组治疗前后VAS相比均有明显差异(P<0.01),且B组出现镇痛效果早于A组。结论对急性爆发性骨痛益钙宁、辅以小剂量多瑞吉能更快速缓解疼痛。Objective: To observe the analgesic effect of eleitonin and eleitonin plus durogesie on urgent bone pain due to osteoporosis. Methods: 57 patients aged 58 -92 years (averaged 67.4 years) were employed in this study. The VAS was 9.0 ±0. 4, and pain duration was 3 - 8 days. Group A : eleitonin 20U i. m. , twice per week. Group B : A + durogesie ( 1.25 - 2.5mg/72h). VAS and physical functions were assessed every 3 days. Results: There was significant difference in the therapeutic effect between preand post-treatment for both groups (P 〈 0.01 ). Eleitonin plus durogesie produced pain relief earlier than eleitonin alone. Conclusion: Eleitonin combined with durogesie can effectively and quickly relieve urgent bone pain related to osteoporosis.
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