中医镇痛方分型在硬膜外麻醉术后腰背疼痛治疗中的效果

Effect of TCM analgesic recipe in the treatment of low back pain after epidural anesthesia

目的:探讨在硬膜外麻醉术后腰背疼痛患者中采用中医镇痛方分型治疗的临床疗效。方法:140例硬膜外麻醉术患者,术后均出现腰背疼痛现象,按照双盲法随机分成对照组和观察组,各70例。对照组采用常规曲马多止痛治疗,观察组采用中医镇痛方分型治疗,比较两组镇痛效果及不良反应。结果:对照组总有效率为77.1%,低于疼痛轻型组93.3%、疼痛中型组86.4%及疼痛重型组83.3%,差异有统计学意义(P<0.05)。对照组不良反应发生率为10.0%,观察组无明显不良反应,对比差异有统计学意义(P<0.05)。结论:在硬膜外麻醉术后腰背疼痛患者中采用中医镇痛方分型治疗止痛效果优良,有推广价值。

Objective： To investigate the clinical efficacy of TCM analgesic treatment in patients with low back pain after epidural anesthesia. Methods：140 patients with epidural pain were observed after epidural anesthesia. They were randomly divided into two groups： the control group and the observation group,each with 70 cases. The control group received conventional tramadol analgesia,the observation group was treated with Chinese medicine analgesic treatment,and the analgesic effect and side effects were compared between the two groups. Results： The total effective rate of the control group was 77. 1%,which was lower than that of the light pain group 93. 3%,the middle pain group 86. 4% and the pain heavy group 83. 3%,and the difference was statistically significant（ P〈 0. 05）. The adverse reaction rate of the control group was 10%,and there was no significant adverse reaction in the observation group,the difference was statistically significant（ P 〈0. 05）. Conclusion： The analgesic effect of traditional Chinese medicine for relieving pain in patients with low back pain after epidural anesthesia is good. It is worth popularizing.