摘要
目的探讨多模式镇痛对老年髋部骨折患者术后镇痛及早期康复中的作用。方法将96例拟行髋部骨折手术的老年患者按随机数字表法分为多模式镇痛组(46例)和传统模式镇痛组(50例)。传统模式镇痛组采用持续硬膜外麻醉,术毕安装硬膜外镇痛泵;多模式镇痛组在此基础上,术前2天常规服用洛索洛芬钠片,并于术中进行切口逐层浸润麻醉。观察术后1~7天两组患者的疼痛模拟视觉评分,并记录患者首次直腿抬高时间、活动步数、术后恶心、呕吐等不良反应。结果多模式镇痛组术后1~3天VAS评分均低于传统模式镇痛组,且术后早期功能恢复情况优于传统模式组。两组术后不良反应的发生率差异无统计学意义。结论多模式镇痛对老年髋部骨折患者术后具有较好的镇痛效果,且利于患者术后早期功能恢复。
Objective To determine the role of multimodal pain management in postoperative analgesia and early rehabilitation in elderly patients undergoing hip fracture surgery.Methods Ninety six elderly patients with hip fractures were randomly divided into two groups:multimodal analgesia group(n = 46) and traditional analgesia group(n = 50).The patients in the multimodal analgesia group were given Loxoprofen 60 mg bid,2 days preoperative.Intraoperative periarticular infiltrated anesthesia and continuous postoperative epidural infusion of ropivacaine were applied in this group.The traditional analgesia group was only given continuous postoperative epidural infusion of ropivacaine.VAS scores,postoperative side effects and walk ability were recorded.Results The VAS scores were lower in the multimodal analgesia group than that in the traditional analgesia group on day 1 to day 3 after surgery.The multimodal analgesia group had superior walking ability at early stage.No significant differences were found with respect to the side effects between the two groups.Conclusion The multimodal perioperative pain management provides a superior pain relief and is good for functional rehabilitation at early stage.
出处
《实用医院临床杂志》
2014年第4期167-169,共3页
Practical Journal of Clinical Medicine
关键词
髋部骨折
镇痛
术后
老年
Hip fracture
Analgesia
Post-operation
Elderly