酮咯酸氨丁三醇复合舒芬太尼右美托咪啶在老年髋关节手术后镇痛中的应用及对患者ADL评分的影响  

Application of Ketorolac Tromethamine Combined with Sufentanil and Dexmedetomidine for Postoperative Analgesia in Elderly Patients Undergoing hip Surgery and its Effect on ADL Score

作　　者：钱俊[1] Qianjun(Department of Anesthesiology,Chinese Medical Hospital of Wujin,Changzhou 213000)

机构地区：[1]常州市武进中医医院麻醉科,江苏常州213161

出　　处：《中国伤残医学》2019年第11期18-19,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:对老年髋关节手术后应用酮咯酸氨丁三醇复合舒芬太尼右美托咪啶的镇痛效果及对患者ADL评分的影响进行探讨.方法:选取2014年1月-2018年7月本院收治的行老年髋关节手术治疗的患者共48例,将其随机分组,给予酮咯酸氨丁三醇复合舒芬太尼右美托咪啶镇痛者设定为观察组,给予酮咯酸氨丁三醇复合舒芬太尼镇痛者设定为对照组,每组24例患者.结果:术后不同时间段的视觉模拟(VAS)评分对比,观察组均低于对照组(P<0.05).日常生活能力量表(ADL)评分对比,观察组高于对照组(P<0.05).不良反应发生率方面,对照组较观察组高,即20.83%>8.34%(P<0.05).结论:酮咯酸氨丁三醇复合舒芬太尼右美托咪啶在老年髋关节手术后镇痛中取得了不错的效果,且对提高ADL评分有积极的影响.Objective: To investigate the analgesic effect of ketorolactone tromethamine combined with sufentanil dexmedetomidine in elderly patients after hip joint surgery and its influence on ADL score. Methods: A total of 48 elderly patients who underwent hip surgery from January 2014 to July 2018 were randomly divided into observation group and control group. Patient. Results: The VAS scores of the observation group were lower than those of the control group (P < 0. 05). The scores of daily living ability scale ( ADL) were higher in the observation group than in the control group ( P < 0. 05 ). The incidence of adverse reactions in the control group was higher than that in the observation group, that is, 20. 83%> 8. 34%,( P < 0. 05). Conclusion: Ketorolate tromethamine combined with sufentanil dexmedetomidine has a good analgesic effect in elderly patients after hip surgery, and has a positive effect on improving ADL score.

关 键 词：老年髋关节手术 酮咯酸氨丁三醇 右美托咪啶 舒芬太尼 镇痛 

分 类 号：R614[医药卫生—麻醉学]