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麻醉前不同浓度罗哌卡因髋关节囊周围神经阻滞在全髋关节置换术患者术后镇痛中的应用观察 被引量:30
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作者 蔡少彦 魏旸 +2 位作者 张蕾 郑良杰 郭春明 《山东医药》 CAS 2022年第3期58-61,共4页
目的 观察麻醉前不同浓度罗哌卡因髋关节囊周围神经阻滞在腰硬联合麻醉全髋关节置换术患者术后镇痛中的应用效果,并选择罗哌卡因适宜浓度。方法 拟腰硬联合麻醉下行单侧全髋关节置换术的患者120例,采用随机数字表法分为4组:0.2%罗哌卡因... 目的 观察麻醉前不同浓度罗哌卡因髋关节囊周围神经阻滞在腰硬联合麻醉全髋关节置换术患者术后镇痛中的应用效果,并选择罗哌卡因适宜浓度。方法 拟腰硬联合麻醉下行单侧全髋关节置换术的患者120例,采用随机数字表法分为4组:0.2%罗哌卡因组(A组)、0.3%罗哌卡因组(B组)、0.4%罗哌卡因组(C组)和0.5%罗哌卡因组(D组)。椎管内麻醉摆体位前30 min在超声引导下行患侧髋关节囊周围神经阻滞,各组均注入20 mL相应浓度的罗哌卡因。于阻滞6、12、24和48 h时,行被动运动VAS评分和主动运动VAS评分,记录屈髋角度,记录阻滞后48 h舒芬太尼用量及阻滞期间不良反应发生情况。结果 阻滞6、12、24 h,与A组比较,C、D组被动运动VAS评分和主动运动VAS评分降低(P均<0.05),A、B组比较,P>0.05;C、D组比较,P>0.05。四组阻滞6、12、24、48 h的屈髋角度比较,P>0.05。与A组比较,B、C、D组舒芬太尼用量降低(P均<0.05)。四组恶心呕吐和谵妄发生率比较,P>0.05。结论 麻醉前罗哌卡因髋关节囊周围神经阻滞在腰硬联合麻醉全髋关节置换术患者术后镇痛中有较好的效果,罗哌卡因的适宜浓度为0.4%。 展开更多
关键词 术后镇痛术 神经传导阻滞 髋关节囊周围神经阻滞 罗哌卡因 髋关节置换
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APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES 被引量:26
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作者 HongZhao Tie-huYe +3 位作者 Zhi-yiGong YangXue Zhang-gangXue Wen-qiHuang 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第1期59-62, ,共4页
Objective To assess the efficacy and safety of lornoxicam, one non-steroidal anti-inflammatory drug (NSAID) in patient-controlled analgesia (PCA) in patients undergoing abdominal surgeries. Methods Thirty-nine patient... Objective To assess the efficacy and safety of lornoxicam, one non-steroidal anti-inflammatory drug (NSAID) in patient-controlled analgesia (PCA) in patients undergoing abdominal surgeries. Methods Thirty-nine patients scheduled for abdominal surgeries were randomly assigned to different PCA treatment groups using either lornoxicam or fentanyl postoperatively. Pain intensity difference (PID) and sum of pain intensity difference (SPID) were used to assess the analgesic efficacy of both drugs during a 24-hour period. Results The analgesic efficacy of lornoxicam is 1/66 of fentanyl, which was shown by SPID value of 3.250 and 3.058, respectively (P > 0.05). Lornoxicam caused fewer adverse events than fentanyl (33% vs. 68%, P < 0.05). Conclusion In clinic, we can use lornoxicam to treat postoperative pain effectively and with less adverse reactions com-pared with fentanyl. 展开更多
关键词 LORNOXICAM FENTANYL patient-controlled analgesia
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Effect of acupoint sticking at Shenque (CV 8) for preventing spleen-stomach disharmony caused by venous analgesia pump
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作者 Ye Fu-ying Yu Ya-ping Huang Wen-hong 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第3期167-170,共4页
Objective: To observe the clinical effect of acupoint sticking of Chinese medicine at Shenque (CV 8) for preventing spleenstomach disharmony caused by venous analgesia pump. Methods: A total of 120 post-surgery pa... Objective: To observe the clinical effect of acupoint sticking of Chinese medicine at Shenque (CV 8) for preventing spleenstomach disharmony caused by venous analgesia pump. Methods: A total of 120 post-surgery patients using venous analgesia pump and also conforming to the inclusion criteria were randomized into 2 groups by the random number table. There were 58 patients in the control group who received conventional post-surgery nursing care, and there were 62 patients in the treatment group who received acupoint sticking at Shenque (CV 8) on the basis of conventional nursing care. After treatment, the incidences of postoperative nausea and vomiting, and abdominal bloating were measured. Results: The total incidence of nausea, vomiting and abdominal bloating in the treatment group was 11.3%, versus 39.7% in the control group, and the difference of the incidence between the two groups showed a statistical significance (P〈0.05). In comparison of the severity of spleen-stomach dishormony which happened during 72 h after surgery, cases in the treatment group showed lower severity than those in the control group (P〈0.05). Conclusion: Acupoint sticking at Shenque (CV 8) can effectively prevent spleen-stomach disharmony caused by venous analgesia pump, which will alleviate sufferings of the patients. 展开更多
关键词 Point Shenque (CV 8) Acupoint Sticking Therapy ANALGESICS Pain Postoperative Spleen-stomach Disharmony Postoperative Nausea and Vomiting Drug-related Side Effects and Adverse Reactions
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