肌注镇痛与自控镇痛对骨科患者术后镇痛效果分析

The Intramuscular Analgesia Compared with Self- control Analgesia in Patients with Orthopaedic Postoperative Anal-gesic Effect

目的对比肌肉注射与自控镇痛两种方式的骨科术后镇痛效果。方法选取骨科手术患者60例,依照随机数字表法分为自控组与肌注组,每组30例。自控组予以微量止痛泵自控镇痛,肌注组予以间断镇痛药物肌肉注射镇痛,对比两组患者术后镇痛效果。结果自控组综合疗效优23例(76.7%)、良7例(23.3%)、差0例,优良率100.0%。肌注组综合疗效优16例(53.3%)、良7例(23.3%)、差7例(23.3%),优良率76.7%。自控组综合手术治疗效果优于肌注组,差异有统计学意义(P<0.05)。自控组术后镇痛不良反应轻度18例(60.0%)、中度9例(30.0%)、重度3例(10.0%),中轻度不良反应占比90.0%;肌注组术后镇痛不良反应轻度17例(56.7%)、中度10例(33.3%)、重度3例(10.0%),中轻度不良反应占比90.0%。两组患者术后镇痛不良反应情况对比,差异无统计学意义(P>0.05)。结论自控镇痛方式在综合效果上优于肌注镇痛方式,值得在骨科手术镇痛中广泛应用推广。

Objective Comparison of intramuscular injection of analgesic effect and analgesia in two ways in the De- partment of orthopedics after surgery. Methods 60 cases of patients in Department of orthopedics operation were divided into control group and intramuscular injection group, control group was given infusion pump analgesia, intramuscular injection of an- algesic drugs group to be intermittent intramuscular analgesia. Results The control group curative effect was excellent in 23 ca- ses （76. 7% ）, good in 7 cases （23.3%）, the treatment effect is better than intramuscular injection group （P 〈0. 05）. No significant differences in adverse reactions of two groups of patients with postoperative analgesia （ P 〉 0. 05 ）. Conclusion PCEA mode is superior in comprehensive effect on intramuscular analgesia.