镇痛泵用于椎间隙感染的临床观察  

Clinical observation of antalgic pump for vertebral space infection

作　　者：徐学战 

机构地区：[1]惠州大亚湾区人民医院,广东惠州516081

出　　处：《现代医药卫生》2004年第4期237-238,共2页Journal of Modern Medicine & Health

摘　　要：目的 :观察镇痛泵在椎间盘摘除术后椎间隙感染的临床应用效果。方法 :对8例术后椎间隙感染病人用镇痛泵持续注入镇痛、抗生素、激素复合液 ,并配合全身抗生素应用 ,腰部制动等治疗1月 ,并随访2年。结果 :所有病人治疗期间均无明显腰痛 ,耐受了保守治疗。1个月均带腰围下地行走 ,半年基本恢复原工作 ,随访2年患者恢复原工作 ,无腰痛 ,X线片椎间趋于融合。结论 :此方法安全、有效 ,对剧烈腰痛不能耐受保守治疗的病人避免了2次手术 ,缩短了病程 ,可作为重要的治疗方法之一。Objective:To observe the clinical effect of antalgic pump for vertebral space infection after extraction of intervertebral disc.Methods:8cases with vertebral space infection were treated with compound injection of analgetic,antibiotics and hormone by continuous infusion of antalgic pump,and concerted with antibiotics in general treatment.Their lumbus was immobilized for a month,and the follow-up was two years.Results:All the patients had no obvious lumbagoduring the treatment.The total of the patients were able to walk with lumbar investment cast after a month treatment,and returned to normal work at6months.The roentgenographic findings of intervertebral pathosis tended to fusion,and no lumbago was found in the patients recovering original work with two years follow-up.Conclusion:Antalgic pump for vertebral space infection is safe and effective.It may shorten the course of disease and be used as one of the important treatment methods on the patients with violent lumbago of unable endurance conservative treatment to avoid secondary operation.

关 键 词：镇痛泵 椎间隙感染 椎间盘摘除术 抗生素 术后并发症 

分 类 号：R619.3[医药卫生—外科学] R687.3[医药卫生—临床医学]