超声引导持续股神经阻滞联合帕瑞昔布在老年人股骨骨折术后中的应用被引量：5

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摘要【目的】探讨超声引导下连续股神经阻滞用于老年人股骨骨折围手术期多模式镇痛中的应用。【方法】选择拟行股骨骨折切开复位内固定手术的老年患者60例，随机分为A组和B组，每组30例。两组均采用超声引导下连续股神经阻滞复合全麻完成手术，A组患者术毕连接自控镇痛泵镇痛，B组患者清醒拔管时连接静脉用PCA泵镇痛，比较两组患者术后72 h内视觉模拟疼痛（VAS）评分、辅助性镇痛药物、不良反应、镇痛满意度评分。【结果】A组患者术后72 h内各个时间点的VAS评分，辅助性镇痛药物及不良反应发生率均显著低于B组，差异有统计学意义（P ＜00．5）；A组患者术后镇痛满意度为（92．5＆#177;08．6）分，显著高于B组患者（78．9＆#177;08．3）分，差异有统计学意义（P ＜00．5）。【结论】超声引导下连续股神经阻滞多模式镇痛对老年人股骨骨折术后镇痛效果良好，且不良反应发生率低，值得临床推广应用。

作者罗玉金伍国芳贺涛肖伟波

机构地区娄底市中心医院麻醉科

出处《医学临床研究》 CAS 2015年第11期2273-2274,共2页 Journal of Clinical Research

关键词神经传导阻滞股神经股骨骨折/超声检查镇痛药/治疗应用

分类号 R683.421 [医药卫生—骨科学]

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1兰秀夫,于腾波,孙红振,殷翔,王爱民.建立一种新评分系统用于术前评估老年髋部骨折手术风险[J].中华创伤杂志,2010,26(3):225-230. 被引量：20
2Barletta JF. Clinical and economic burden of opioid use for postsurgical pain: focus on ventilatory impairment and ileus [J]. Pharmacotherapy, 2012, 32(9 Suppl) : 12S-18S.
3Parvataneni HK, Shah VP, Howard H, et al. Controlling pain after total hip and knee arthroplasty using a multimodal proto- col with local periarticular injections: a prospective randomized study[J]. Arthroplasty, 2007, 22(Suppl 2): 6.
4Chuan A. Decontamination of ultrasound equipment used for peripheral ultrasound-guided regional anaesthesia [J] Anaesth Intensive Care, 2013,41 (4) :529-534.
5Mariano ER, Loland VJ, Sandhu NS, et al. Ultrasound guid- ance versus electrical stimulation for femoral perineural cathe ter insertion[J]. Ultrasound Med, 2009,28(11) 1453-1460.

二级参考文献13

1Jain R,Basinski A,Kreder HJ.Nonoperative treatment of hip fracturos.Int Orthop,2003,27(1):11-17.
2Knaus WA,Wanger DP.APACHE II:a severity of classification system.Crit Care Med,1985,13(13):818-829.
3Copeland GP,Jones D,Waiters M,et al.POSSUM:a scoring system for surgical audit.Br J Surg,1991,78(3):355-360.
4Eastell R,Reid DM,Compston J,et al.Secondary prevention of osteoporosis:when should a non-vertebral fracture be a trigger for action?QJM,2001;94(11):575-597.
5Cummings SR,Melton LJ.Epidemiology and outcomes of osteoporotic fractures.Lancet,2002,359(9319):1761-1767.
6Evers BM,Townsend CM Jr,Thompson JC.Organ physiology of aging.Surg Clin North Am,1994,74(1):23-39.
7Meunier PJ.Epidemiology and prevention of hip fractures//Proceedings of the Conference on ILAR Congress of Rheumatology,Singapore,1997:65-68.
8Higgins TL,McGee WT,Steingrub JS,et al.Early indications of prolonged intensive care unit stay:impact of illness severity,physician staffing,and pre-intensive care unit length of stay.Crit Care Med,2003,31(1):45-51.
9Neary WD,Heather BP,Earnshaw JJ.The physiological and operative severity score for the enumeration of mortality and morbidity(POSSUM).Br J Surg,2003,90(9):157-165.
10Goldman L,Caldera DL,Nussbaum SR,et al.Multifactorial index of cardiac risk in noncardiac surgical procedures.N Engl J Med,1997,297(16):845-850.