不同镇痛方法在腰椎后路减压内固定植骨融合术中的效果对比  

Effect comparison of different analgesia methods in posterior lumbar decompression and internal fixation and bone graft fusion

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作  者:曾娘华 易伟宏 王尔天 杨大志 褚千琨 ZENG Niang-hua;YI Wei-hong;WANG Er-tian(Shenzhen Union Hospital of Huazhong University of Science and Technology,Shenzhen 518052,China)

机构地区:[1]华中科技大学协和深圳医院,518052

出  处:《中国实用医药》2024年第8期135-137,共3页China Practical Medicine

摘  要:目的 对比不同镇痛方法对腰椎后路减压内固定植骨融合术的镇痛效果。方法 选取80例行腰椎后路减压内固定植骨融合术的患者作为研究对象,根据镇痛方法的不同分为对照组和研究组,每组40例。对照组给予镇痛泵方式进行镇痛,研究组给予镇痛泵联合切口浸润进行镇痛。比较两组手术后不同时间点的疼痛评分。结果 术后2、4、12、24 h,研究组疼痛评分分别为(1.25±0.15)、(3.11±0.98)、(2.54±0.52)、(1.64±0.36)分,均显著低于对照组的(4.16±0.68)、(5.13±1.57)、(4.63±1.65)、(3.79±1.03)分(P<0.05)。结论 对行腰椎后路减压内固定植骨融合术的患者来说,在其治疗过程中加以镇痛泵联合切口浸润进行干预,止痛效果十分显著。Objective To compare the effect of different analgesia methods on posterior lumbar decompression and internal fixation and bone graft fusion.Methods 80 patients with posterior lumbar decompression and internal fixation and bone graft fusion were selected and divided into a control group and a study group by different analgesic methods.Patients in the control group were treated with analgesia pump,and patients in the study group were treated with analgesia pump combined with incision infiltration.The pain score at different time points after surgery were compared.Results At 2,4,12 and 24 h after surgery,the pain scores of the study group were(1.25±0.15),(3.11±0.98),(2.54±0.52)and(1.64±0.36)points,which were significantly lower than(4.16±0.68),(5.13±1.57),(4.63±1.65)and(3.79±1.03)points of the control group(P<0.05).Conclusion For patients undergoing posterior lumbar decompression and internal fixation and bone grafting and fusion,the analgesia pump combined with incision infiltration during the treatment process has a significant analgesic effect.

关 键 词:镇痛泵 切口浸润 腰椎后路减压内固定植骨融合术 术后疼痛 

分 类 号:R687.3[医药卫生—骨科学]

 

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