摘要
目的观察神经外科开颅患者术后切口局部疼痛的临床特点,并探讨氨酚羟考酮多模式镇痛的临床效果和不良反应。方法129例择期开颅手术的神经外科患者,记录术后1周内头痛的发生时间、部位、强度和性质。确诊切口局部疼痛后,分别给予氨酚羟考酮(治疗组)或罗痛定(对照组)口服。结果开颅术后患者1周内切口局部中-重度疼痛发生率为39.5%(51/129)。治疗组疼痛缓解显效率为76.9%(20/26),对照组为36.0%(9/25)(P<0.01);治疗组疼痛强度差明显高于对照组(P<0.01);应用氨酚羟考酮后未出现严重不良反应。结论切口局部中-重度疼痛是开颅术后较为常见的并发症,氨酚羟考酮对其具有良好的疗效。
Objective To explore the clinical features and the management of incision of scalp pain after craniotomy. Methods 129 patients after craniotomy without postoperative neuralgia were involved. The onset, severity, and characteristics of the pain were recorded within 1 week after the craniotomy. Patients with moderate-severe pain were given oxycodone and acetaminophen （treatment group） or rotundine （control） for 3 d. Results 39.5%（51/129）of patients experienced moderate to severe postoperative pain. After treatment, 76.9% （20/26） in treatment group and 36.0% （9/25） in control were released from the pain （P〈0.01）. The pain intensity differences and sum of pain intensity differences were more in treatment than in control （P〈0.01）. Conclusion - Incision of scalp pain is common after craniotomy. Oxycodone and acetaminophen, called multimodal analgesia is efficacious and safe for it.
出处
《中国康复理论与实践》
CSCD
2009年第7期619-620,共2页
Chinese Journal of Rehabilitation Theory and Practice
基金
北京市自然科学基金重点资助项目(7061001)
