微量注射泵在细针硬膜外阻滞术中的临床应用  

Clinical application of micro-injection pump in the fine-needle epidural block technique

作　　者：雷光春[1] 古锐[1] 曾丽[1] 马小俐 符小瑜 陈玲[1] 彭文茜[1] 

机构地区：[1]都江堰市中医医院疼痛科,四川成都611830

出　　处：《颈腰痛杂志》2015年第5期409-412,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的评价微量注射泵用于细针硬膜外阻滞术的临床疗效。方法选择适合行细针硬膜外阻滞术的患者132例,随机分为微量注射泵注射组(A组)、传统人工注射组(B组)两组,每组各66例。细针硬膜外穿刺成功后,A组采用微量注射泵注射、B组采用传统人工注射。治疗效果采用视觉模拟评分法(visual analogue scale,VAS)和改良的Mac Nab标准评定,记录两组治疗中并发症、不良反应及治疗后随访满意度。结果 A组的优良率达95%,明显高于B组的85%,差异有统计学意义(P<0.05);A组的并发症/不良反应发生率(1.01%)显著低于B组(6.57%),差异有统计学意义(P<0.01)。结论微量注射泵用于细针硬膜外阻滞术不仅避免传统人工注药的不足,而且显著提高治疗安全性和临床疗效。Objective To evaluate clinical curative effect of the micro-injection pump used for the fine-needle epidural block technique. Methods 132 patients who fitted to use the fine- needle epidural block were selected. They were randomly divided into two groups,micro-injection pump injection group （group A） and the traditional manual injection group （group B）,66 cases in each group. After the success of the fine needle epidural puncture, group A received micro- injection pump and group B received traditional artificial injection. Treatment effect was evaluat- ed by using visual analogue scale（VAS） and modified MacNab criteria. The treatment complica- tions, adverse reactions and follow-up after treatment satisfaction were recorded. Results The excellent and good rate of A group was 95%, which was significantly higher than 85% in the B group, the difterence was statistically significant （P〈0.05）;The incidence rate of adverse reaction tff A group（1.01%） was lower than that in B group（6.57%）, the difference was statistically signifi- cant（P〈0.01 ）. Conclusion The micro-injection pump used in fine-needle epidural block technique can avoid the shortcomings of traditional artificial injection, and significantly improve the safety and clinical efficacy of treatment.

关 键 词：微量注射泵 细针硬膜外阻滞 疗效 安全性 

分 类 号：R614.42[医药卫生—麻醉学]