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髋膝关节置换术后三种自控镇痛的疗效及安全性比较 被引量：9

The comparison of efficacy and safety of three kinds of patient-controlled analgesia after hip and knee replacement operation
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摘要 目的观察髂筋膜置管、硬脊膜外腔置管和静脉镇痛泵用于髋膝关节置换术后自控镇痛的效果。方法 150例髋膝关节置换术后镇痛患者中,髂筋膜置管组(Ⅰ组)、硬脊膜外腔置管组(Ⅱ组)和静脉镇痛泵组(Ⅲ组)各50例,记录并比较术后各时间段镇痛效果、VAS评分、按压次数(D1/D2值)及安全性和不良反应的发生。结果三组均获得满意的术后镇痛效果,但Ⅰ组和Ⅱ组各时点VAS评分均低于Ⅲ组,差异有统计学意义(P<0.05),Ⅰ组12、24、36 h VAS评分均低于Ⅱ组,差异有统计学意义(P<0.05)。术后48 h OAA/S评分比较,Ⅰ组和Ⅱ组均低于Ⅲ组,差异有统计学意义(P<0.05)。三组D1/D2值比较,差异均无统计学意义(P>0.05)。不良反应发生率Ⅰ组明显少于Ⅱ组和Ⅲ组,差异有统计学意义(P<0.05)。结论髂筋膜置管用于髋膝关节置换术后镇痛效果确切,安全可靠,不良反应少。
作者 罗学宇
机构地区 四川省绵阳市骨科医院麻醉科
出处 《实用医院临床杂志》 2014年第2期152-153,共2页 Practical Journal of Clinical Medicine
关键词 髂筋膜置管 硬脊膜外腔置管 静脉镇痛泵 髋膝关节置换术 术后镇痛.
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献7

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二级参考文献18

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共引文献68

同被引文献84

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实用医院临床杂志
2014年 第2期

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