曲马多注射液联合中药在人工髋关节置换术后镇痛中的应用

The Application of Tramadol Injection combined w ith Chinese Medicine on Analgesia after Artificial Hip Joint Replacement

目的观察曲马多联合中药在人工髋关节置换术后的镇痛效果。方法将96例全髋置换术患者随机分为观察组和对照组,对照组术后给予曲马多1.0 g镇痛泵止痛,观察组术后给予曲马多0.5 g药镇痛泵止痛基础上联合中药。结果两组研究对象在术后镇痛、镇静方面的效果差异性不明显(P>0.05),但观察组曲马多的使用量仅为对照组的一半,观察组在术后镇痛时不良反应的发生率明显少于对照组(P<0.05)。结论曲马多联合中药用于人工髋关节置换术后镇痛,效果肯定且降低了不良反应的发生率。

Objective To observe the analgesic effect of tramadol combined with Chinese medicine after artificial hip joint replacement. Methods 96 cases of patients undergoing total hip replacement were randomly divided into observation group and control group. The control group was given 1.0g tramadol analgesia pump pain. Patients in the observation group were given tramadol 0.5g analgesic pump pain based on Chinese medicine. Results The difference between the two groups in the postoperative analgesic and sedative effect was not obvious（ P〉〈0.05）, but the tramadol use of the observation group was only half of the control group. The observation group in postoperative analgesia of adverse reactions occurrence rate was significantly less than that of the control group（ P 〈0.05）. Conclusion Application of tramadol combined with Chinese medicine on postoperative analgesia after total hip joint replacement had positive effect, and reduced the incidence of adverse reactions.