超激光疗法在骨科术后多模式镇痛的临床应用分析  

Multimodal effect of ultra laser treatment on theperioperative analgesia in orthopaedic surgery

作　　者：覃旭[1,2] 赵新[1,2] 

机构地区：[1]成都市第三人民医院 [2]重庆医科大学附属成都第二临床学院康复医学科,四川成都610031

出　　处：《四川医学》2013年第2期172-173,共2页Sichuan Medical Journal

摘　　要：目的探讨超激光疗法(物理因子疗法)对骨科术后疼痛抑制的协同作用。方法选取60例骨科术后患者随机分为多模式镇痛组(实验组)和PCA组(对照组),对照组术后使用一次性静脉微量镇痛泵,实验组在对照组的基础上加用超激光治疗,采用视觉模拟疼痛标尺法(VAS)分别于术后分时点对患者做疼痛评分。结果术后4h、8h两组评分差异无统计学意义,其余时点实验组评分低于对照组。结论超激光在骨科术后镇痛有明显协同效应。Objective To investigate the ultra laser treatment（physical therapy） on orthopaedic postoperative pain suppression of synergies.Methods 60 cases of postoperative orthopedic patients were randomly divided into multimodal analgesia group（experimental group） and group PCA（control group）,the experimental group patients after the use of laser therapy,the control group patients not using other physical factors of analgesia.Using a visual analogue pain scale method（VAS） were performed after 4 to 48 hours each time on patients with pain score,statistically analyses of variance.Results using the ultra laser treatment of multimodal analgesia in postoperative except 4h and 8h two time periods and epidural analgesia effect is better than that of control group.Conclusion Laser in postoperative analgesia after orthopedic surgery have obvious synergistic effect,with fast,efficient,spasmolytic analgesic effect.The therapeutic mechanism and mode of physical therapy of multimodal analgesia remains to be further investigated.

关 键 词：多模式镇痛 超激光 骨科手术 术后镇痛 

分 类 号：R614[医药卫生—麻醉学]