股神经三合一阻滞复合曲马多静脉PCA应用于老年髋部手术后镇痛  

作　　者：向继林 吴文知[1] 

机构地区：[1]四川省骨科医院,610041

出　　处：《中华临床医师杂志（电子版）》2016年第4期162-163,共2页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的 研究股神经三合一阻滞复合曲马多静脉PCA应用于老年髋部术后镇痛的效果.方法 选取2014.01~2014.03期间在四川省骨科医院行髋部手术患者82例,按手术方式分为髋关节置换组（n=43）及骨折内固定组（n=39）,所有病例均于术前行股神经三合一阻滞,术后给予曲马多静脉PCA镇痛,记录静止、运动VAS评分及不良反应.结果 两组患者术后48h内静止、运动VAS评分均低于2分,关节置换组术后48h疼痛缓解明显（p〈0.05）,术后48h疼痛静止、运动VAS评分均低于同时点骨折内固定组.两组患者不良反应反应发生率恶心、呕吐占总人数4.9%,嗜睡占总人数8.5%.结论 股神经三合一阻滞复合曲马多静脉镇痛效果显著,安全性高.To evaluate the effet of femora nerve block and Tramadol used in postoperative analgesia of hip operation. 82 patients receivedelected hip operation were divided into two groups replacement group and internal fixation group. All patients receive femora never blockage beforeoperation, and PCAI with Tramadol were used for analgesia after operation. The static, motive VAS and side effect were measured 12h, 24h and 48h afteroperation. All VAS observed in this study were bellow 2 point, VAS dramatically decreased in hip replacement group 48h after operation（P〈0.05）, thesame situation not observed in internal fixation group. There were 4.9% patients developed nausea or vomit, 8.5% patients developed drowsiness in all 82patients. Femora nerve blockage and Tramatol PCAI can significantly relieve the postoperative acute pain with less side effect.

关 键 词：手术后镇痛 曲马多静脉 静脉PCA 髋部手术 三合一 股神经 阻滞 复合 

分 类 号：R614.42[医药卫生—麻醉学]