地佐辛预处理对下肢远端骨折老年患者术后痛觉过敏的影响  

Effect of Dizocine Pretreatment on Postoperative Hyperalgesia in Elderly Patients with Distal Lower Limb Fractures

作　　者：刘红宇 LIU Hong-yu(Department of anesthesiology,Dandong first hospital,Dandong,Liaoning 118000)

机构地区：[1]丹东市第一医院麻醉科,辽宁丹东118000

出　　处：《中国伤残医学》2023年第6期12-15,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：分析老年下肢远端骨折患者术后痛觉过敏情况,评价地佐辛预处理的影响。方法:选择我院骨科2019年7月-2020年6月收治的80例老年下肢远端骨折患者,进行1:1比例法分组麻醉。对照组40例老年患者行全麻,观察组40例老年患者配合地佐辛预处理。比较2组老年下肢远端骨折患者的苏醒时间、拔管时间、意识恢复时间以及疼痛变化情况。结果:2组苏醒、拔管以及意识恢复时间比较,观察组与对照组用时接近,P>0.05;2组术后6小时、12小时视觉模拟评分(VAS)比较,观察组均优于对照组,P<0.05。结论:地佐辛预处理情况下能够有效预防老年下肢远端骨折患者痛觉过敏,进而减轻患者术后疼痛感,利于稳定患者的血流动力学,麻醉效果满意。Objective:To analyze the postoperative hyperalgesia of elderly patients with distal lower limb fractures and to evaluate the effect of dizocine pretreatment.Methods:80 elderly patients with distal lower limb fractures in the Department of orthopaedics of our hospital from July 2019 to June 2020 were selected and approved by the hospital ethics committee for 1:1 proportional anesthesia.40 elderly patients in the control group received general anesthesia,and 40 elderly patients in the observation group received dizocine pretreatment.The recovery time,extubation time,consciousness recovery time and pain changes were compared between the two groups.Results:The time of recovery,extubation and recovery of consciousness in the observation group was close to that in the control group(p>0.05);The visual analogue scale(VAS)of the observation group was better than that of the control group at 6h and 12h after operation(p<0.05).Conclusion:dizocine pretreatment can effectively prevent hyperalgesia in elderly patients with distal lower limb fracture,and then reduce the postoperative pain,which is conducive to stabilizing the hemodynamics of patients,and the anesthetic effect is satisfactory.

关 键 词：地佐辛预处理 下肢远端骨折 老年 痛觉过敏 恢复情况 

分 类 号：R614[医药卫生—麻醉学]