复合镇痛模式在慢性软组织炎症中的应用  

Application of Multimodal Analgesia in Chronic Soft Tissue Inflammation

作　　者：王建钧 李剑锋 李晓冬 张爱莲 WANG Jianjun;LI Jianfeng;LI Xiaodong;Zhang Ailian(Department of Orthopedic and Spine Surgery, Zhuhai Hospital Affiliated to Jinan University, Zhuhai, Guangdong 519000, China)

机构地区：[1]暨南大学附属珠海医院脊柱骨病科,广东珠海519000

出　　处：《今日药学》2018年第3期190-192,共3页Pharmacy Today

基　　金：广东省临床用药研究基金(2015ZT26);珠海市科技计划项目(20161027E030027)

摘　　要：目的通过60例慢性下腰痛及肌筋膜炎性疼痛的不同镇痛方式研究其镇痛效果。方法选取2015年10月~2016年10月在某院住院治疗的慢性下腰痛及肌筋膜炎性疼痛患者60例,采用随机方式分为常规镇痛组、联合肌松药物组和复合镇痛组,统计各组在治疗后24,48及72 h的视觉模拟评分法(VAS)得分,采用SPSS 13.0软件进行统计分析。结果 3组镇痛方式中,传统镇痛组术后的VAS评分最高,患者对镇痛治疗的满意度较低;联合肌松药物组的VAS评分较传统镇痛组略低,患者对术后镇痛效果基本满意;复合镇痛组的VAS评分最低,患者对镇痛效果较为满意。结论复合镇痛方式治疗慢性软组织炎症可以达到满意的镇痛效果。OBJECTIVE To study the effect of different ways in analgesic treatment of 60 cases of chronic soft tissue inflammation. METHODS 60 cases of low back pain and myofascial pain from October 2015 to October 2016 were selected and were divided into 3 groups of routine analgesia group,muscle relaxant combined group and multimodal analgesia group by random and single blind,anesthesia scores of VAS in 24 h,48 h,72 h were analyzed by SPSS 13. 0. RESULTS The routine analgesia group had the highest VAS score and lower satisfaction of the analgesic treatment. The VAS score and satisfaction to the analgesic treatment of the muscle relaxant combined group was between routine analgesia group and multimodal analgesia group. The multimodal analgesia group had the lowest VAS score and best analgesic effect. CONCLUSION The analgesic effect of multimodal analgesia can be satisfactory in the analgesic treatment of chronic soft tissue inflammation.

关 键 词：慢性软组织炎症 镇痛治疗 视觉模拟评分法 

分 类 号：R969.4[医药卫生—药理学]