断指再植术后应用不同自控镇痛方法镇痛效果观察  

作　　者：陈志辉[1] 纪浩聪[1] 郭宗荣[1] 

机构地区：[1]广东省惠州市第一人民医院麻醉科,516003

出　　处：《中国医疗前沿》2013年第10期38-39,共2页China Healthcare Innovation

摘　　要：目的观察对比断指再植术后应用不同自控镇痛方法的镇痛效果。方法 80例断指再植患者随机分为两组,A组术后使用持续臂丛自控镇痛,B组术后使用静脉自控镇痛,应用视觉模拟评分法(VAS评分法)评价镇痛效果,评估比较再植指血运情况。结果 A组镇痛效果和再植指的血运优于B组,差异有统计学意义(P<0.05)。PCA可有效改善再植结果。结论持续臂丛自控镇痛可有效减轻患者术后疼痛,改善再植指的血液循环,提高断指再植的成活率。Objective To observe the different methods of analgesia analgesic effect of replantation and postoperative care precautions. Methods 80 cases of replantation patients were randomly divided into 2 groups, A group of postoperative analgesia using continuous brachial plexus, B postoperative analgesia using intravenous application of visual analogue scale（VAS score） to evaluate the analgesic effect to assess the blood supply of replanted fingers, and then compared. Result A group of analgesic effect and the blood supply of replanted fingers than in group B, was statistically significant（P〈0.05）. PeA can effectively improve the results of replantation. Conclusion Continuous brachial plexus analgesia can effectively improve the replanted fingers bulky to reduce postoperative pain and improve the survival rate of replantation.

关 键 词：自控镇痛 断指再植 临床观察 

分 类 号：R658.1[医药卫生—外科学]