脊柱后路手术多模式镇痛疗效分析

The outcome analysis of multimodal analgesia in the posterior spinal surgery

目的:探讨多模式镇痛在脊柱后路手术中的疗效。方法:将2014年9月至2015年3月于我院行脊柱后路手术的80例患者随机分为两组:实验组采用多模式使用镇痛药物,对照组术后常规使用镇痛药物。采用视觉模拟评分法(VAS)评估患者术后疼痛程度,同时记录患者术后24、48 h镇痛药物的使用量及并发症的发生率。结果:术后2、24、48、72 h实验组患者VAS评分明显低于对照组(P<0.05),实验组患者术后24、48 h镇痛药物使用量明显少于对照组(P<0.05),两组患者并发症的发生率差异无统计学意义(P>0.05)。结论:多模式镇痛能够明显减轻脊柱后路手术患者术后疼痛并减少阿片类药物的使用量。

Objective： To evaluate the outcome of multimodal analgesia in the posterior spinal surgery. Methods：80 patients receiving posterior spinal surgery in our hospital from September 2014 to March 2015 were randomly divided into two groups： experimental group received multimodal analgesia while control group received common postoperative analgesic drugs. The visual analog pain scale（ VAS） was used to assess pain degrees postoperation,usage of analgesics postoperative 24,48 h and the rate of complication were recorded. Results： VAS scores in experimental group were significantly lower than those in the control group（ P〈0. 05） on postoperative 2,24,48 and 72 h. In experimental group,the usage of analgesics postoperative 24,48 h was significantly lower than that in the control group（ P〈0. 05）. There was no significantly difference in the rate of complication during the two groups（ P〈0. 05）. Conclusion： The use of multimodal analgesia can effectively relieve pain of patients who receiving posterior spinal surgery and reduce the dosage of opioid drugs.