脊柱手术和脊柱手术硬脊膜撕裂修补术后硬外镇痛的对比观察研究

Study and Observation of PCEA Analgesia After Laceration Repair of Spinal Epidural Compared with Spinal Surgery

目的 研究脊柱手术硬脊膜撕裂修补术后的患者使用小剂量 PCEA 的最佳途径。方法 本研究选择ASAⅠ-Ⅲ级,行脊柱手术的病人40例,分为A组:20例脊柱手术;B 组:20 例脊柱手术硬脊膜撕裂修补术的病人,分别采用不同剂量的镇痛剂进行术后PCEA。结果 两组 VAS疼痛评分,满意度评分,下肢运动阻滞评分无显著差异(P >0.05)。结论 说明小剂使用PCEA硬脊膜修补术后镇痛,病人是安全,有效的。

Objective To study the best way of using low dose of Epidural Patient-Controlled Analgesia (PCEA) for the patients in the spinal epidural laceration repaired surgery. Methods 40 patients (ASA grade I-III) undergoing spinal surgery, are divided into two groups: 20 cases of spinal surgical treatment (Group A) and 20 cases of laceration repair of spinal epidural surgery (Group B), who are respectively performed PCEA for post-operative pain relief by using different doses of analgesic. Results No distinct difference between the two groups is seen in the pain scores of Visual Analogue Score (VAS), satisfactory scores and the blockade scores of the lower limbs movement (P>0.05). Conclusions As a result, low dose of PCEA can be applied for the repair of spinal epidural surgery. Patients consequently are safe and get effective effect for the post-operative analgesia.