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经皮椎间孔镜下腰椎间盘切除术的麻醉药物配方镇痛效果的随机对照研究 被引量:11
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作者 常帅 黄进 +2 位作者 陆冬舰 杨小胜 张智海 《航空航天医学杂志》 2019年第5期532-535,共4页
目的评价两种局部浸润麻醉药物配方对施行经皮椎间孔镜下腰椎间盘切除术患者术中的镇痛效果。方法 2018年10月~2019年3月在我院因单节段腰椎间盘突出症接受经皮椎间孔镜下腰椎间盘切除术(PTELD)治疗的患者纳入本研究,随机分为两组:A组... 目的评价两种局部浸润麻醉药物配方对施行经皮椎间孔镜下腰椎间盘切除术患者术中的镇痛效果。方法 2018年10月~2019年3月在我院因单节段腰椎间盘突出症接受经皮椎间孔镜下腰椎间盘切除术(PTELD)治疗的患者纳入本研究,随机分为两组:A组麻醉方法为浓度1%的利多卡因稀释溶液局部浸润麻醉;B组为在A组的基础上加入盐酸罗哌卡因注射液100 mg局部浸润麻醉同时在手术开始前10分钟静脉注射枸橼酸舒芬太尼注射液10 ug(0. 2 m L)。采集每例患者术中椎间孔成形期VAS评分和纤维环减压期VAS评分用于评价术中镇痛效果。结果共78例患者纳入研究,A组40例,B组38例。椎间孔成形期B组在平均疼痛VAS评分(2. 03±0. 59)及峰值疼痛VAS评分(3. 39±0. 95)上都显著低于A组(4. 07±0. 62及6. 08±1. 33)。纤维环减压期两组间平均疼痛VAS评分和峰值VAS评分无显著性差异。两组患者术后均未出现麻醉及手术相关的并发症。结论采用利多卡因及罗哌卡因混合局麻联合静脉注射舒芬太尼的这一药物配方在未增加手术风险的前提下可明显提高经皮椎间孔镜手术的镇痛效果。 展开更多
关键词 经皮椎间孔镜下腰椎间盘切除术 镇痛效果 麻醉药物配方 随机对照研究
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Clinical Outcome of Percutaneous Endoscopic Lumbar Surgery (PELS) in Treatment of Lumbar Disc Herniation 被引量:2
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作者 Mangal P. Hirachan Zengxin Gao +1 位作者 Yucheng Lin Ratish Singh 《Open Journal of Orthopedics》 2017年第4期99-109,共11页
Lumbar disc herniation is a spinal problem seen in both young and old people causing pain in the back with pain and numbness in lower extremity leading to disability limiting daily activities. When conservative treatm... Lumbar disc herniation is a spinal problem seen in both young and old people causing pain in the back with pain and numbness in lower extremity leading to disability limiting daily activities. When conservative treatments are ineffective, then it is treated by surgeries, more recently with minimal invasive percutaneous endoscopic lumbar surgery (PELS). One of the mostly accepted PELS by spinal surgeons is percutaneous transforaminal endoscopic lumbar discectomy, which can be performed for any age. The main aim of this review was to evaluate clinical outcome and safety based on the Oswestry Disable Index (ODI), Visual Analog Scale (VAS) and MacNab criteria and complications of PELS surgery and its advantages in clinical basis. 展开更多
关键词 LUMBAR Disc Herniation (LDH) PERCUTANEOUS ENDOSCOPIC LUMBAR Surgery (PELD) PERCUTANEOUS TRANSFORAMINAL ENDOSCOPIC LUMBAR DISCECTOMY (pteld) INTERLAMINAR PERCUTANEOUS ENDOSCOPIC LUMBAR DISCECTOMY (ILPELD)
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