地佐辛、罗哌卡因联合塞来昔布在创伤骨折术期镇痛效果分析

Analysis of Analgesic Effect of Dezocine and Ropivacaine Combined With Celecoxib in Traumatic Fracture Surgery

目的研究地佐辛、罗哌卡因PCEA联合塞来昔布口服用于创伤骨折下肢手术围手术期镇痛效果。方法选取60例因创伤骨折需行下肢手术,要求围手术期镇痛的患者,按时间顺序分为椎管内镇痛组和联合镇痛组,每组30例。比较两组患者围手术期疼痛评分、不良反应发生率以及对镇痛方法的满意度。结果对患者围手术期镇痛的满意度;椎管内镇痛组追加镇痛药物次数为3~4次,而联合镇痛组为0~1次,联合镇痛组围手术期疼痛评分低于椎管内镇痛组,联合镇痛组均存在有显著优势,P<0.05,差异有统计学意义。在不良反应上,两组患者均有12例出现并发症,P>0.05,差异无统计学意义。结论地佐辛、罗哌卡因PCEA联合塞来昔布口服联合镇痛用于创伤骨折下肢手术,镇痛效果好,不良反应发生率低。

Objective The research of dezocine and PCEA ropivacaine combined with celecoxib oral surgery for lower limb trauma fracture perioperative analgesic effect. Methods 60 patients with traumatic fracture requiring lower limb surgery and requiring perioperative analgesia were divided into two groups： 30 cases of spinal analgesia group and a combined analgesia group. The perioperative pain score, the incidence of adverse reactions and the satisfaction of the analgesic methods were compared between the two groups. Results The satisfaction degree of perioperative analgesia was 3--4 times for the analgesic group, while the joint analgesia group was 0-1 times, pain score of the joint analgesia group was lower than that Of the intrathecal analgesia group, and there was a significant advantagein the Combined analgesia group, P〈 0.05, the difference was statistically, significant. In the adverse reactions, there were 12 cases of complications in the two groups, P 〉 0.05, the difference was not statistically significant. Conclusion Dezocine and PCEA ropivacaine combined with celecoxib combined with oral analgesia for lower limb trauma fracture, good analgesic effect, low incidence of adverse reactions.