多模式镇痛在椎间孔镜手术清醒麻醉中的临床应用

Clinical application of multimodol analggesia in conscions anesthesia during imtervertebral foramen surgery

目的探讨多模式镇痛在椎间孔镜清醒手术中的安全性及有效性。方法选取2015年6月~2016年10月于我院接受椎间孔镜手术患者92例,以根据进入手术室的顺序分为A组和B组,各46例。A组采用多模式镇痛,B组采用常规局部麻醉。比较两组患者MAP、HR情况、疼痛情况、寒颤反应时间、手术时间、呼吸抑制、术后不良反应情况。结果对照组患者的MAP、HR情况、疼痛情况、寒颤反应时间、手术时间、呼吸抑制均优于对照组,差异有统计学意义(P<0.05),两组患者术后均未出现不良反应。结论多模式镇痛在椎间孔镜清醒手术中有效的降低了手术的疼痛,提高患者的舒适度和安全性,可在临床推广。

Objective To Study the efficacy and safety of muhimodal analgesia in comscious anesthesia durimg intervertebral foramen surgery.Methods 92 patients received transforaminal endoscopic surgery in our hospital from June 2015 to October 2016 were selected and divided into two groups according to the sequence to operating room,with 46 cases in each group.Patients in group A were given multimodal analgesia,while patients in group B were given routine local anesthesia.The levels of MAP,HR,pain degree,time of chills reaction time and operation,respiratory depression,postoperative adverse reactions of patients were compared between two group.Results The levels of MAP,HR,pain degree,time of chills reaction time and operation,respiratory depression,postoperative adverse reactions of patients in group A were better than those in group B,and the differences were statistically significant（P〈0.05）.There was no adverse reaction in both groups A and B.Conclusion Reducing the operative pain of muhimodal analgesia and analgesia in foraminal mirror awake in the operation, improving safety and comfort.