来比林镇痛复合液用于神经阻滞的临床研究  

THE CLINICAL STUDY OF ASPEGIC ANALGESIC COMBINATION FOR NEVER BLOCK

作　　者：刘延青 王平 康妹娟[2] 冯瑞晶 李东莺 郭晓红 

机构地区：[1]中华疼痛学会第二临床中心北京铁路中心医院疼痛科,北京100070 [2]北京大学神经科学研究所 [3]内蒙古乌盟医院内四科

出　　处：《中国疼痛医学杂志》2001年第4期214-215,共2页Chinese Journal of Pain Medicine

摘　　要：目的 :探讨来比林 (Aspegic)镇痛复合液用于神经阻滞的作用。方法 :12 0例腰椎间盘突出症和颈椎病的患者随机分为四组。Ⅰ组 :对照组 (30例 ) ;Ⅱ组 :来比林组 (30例 ) ;Ⅲ组 :地塞米松组(30例 ) ;Ⅳ组 :来比林静滴组 (30例 )。Ⅰ～Ⅲ组患者均采用神经根或外周神经阻滞治疗 ,间隔 3～4天治疗一次 ,一疗程 4次。Ⅳ组患者用来比林静滴治疗 ,每天一次 ,7天为一疗程。各组治疗前后疼痛情况用VAS评估 ,并进行统计学处理。结果 :(1)来比林组神经阻滞治疗后的镇痛效果明显优于对照组和来比林静滴组。 (2 )来比林组和地塞米松组神经阻滞治疗后镇痛效果无统计学差异。结论 :来比林镇痛复合液用于神经阻滞治疗 ,镇痛效果优于单纯全身用药和常规局麻药镇痛复合液。来比林和地塞米松镇痛复合液比较 ,镇痛作用相似。Aim: To invest igate the effect of Aspegic analgesic combination for nerve block. Method: The 120 patients diagnosed lumbar disc herniation or cervical spondylosis were randomly divided into four groups: 1. Control group (30 cases); 2.Group of Aspegic (30); 3.Group of dexamethasone (30); 4. Group of Aspegic i.v. Drop (30). Patients in group 1～3 were treated with nerve block once every 3~4 days, with 4 injections as one treatment black. Patients of the 4th groups were given aspegic i.v.drop; once a day for 7days. VAS was used for pain assessment. Result and Conclusion: 1. The analgesic effect of Aspegic group is significantly better than the control group and group of Aspegic i.v.Drop. 2. The analgesic effect produced by Aspegic is not statistically different from that of dexamethasone.

关 键 词：来比林 镇痛复合液 神经阻滞 腰椎间盘突出 颈椎病 

分 类 号：R614[医药卫生—麻醉学]