摘要
目的探讨西乐葆复合PCEA的多模式镇痛应用于下肢骨折内固定术后的镇痛疗效。方法回顾性分析我院2012年5月至2013年10月行下肢骨折内固定术患者的临床资料,将50例采用西乐葆复合PCEA多模式镇痛的患者标记为观察组,另50例单纯采用PCEA镇痛标记为对照组,对比两组VAS评分、不良反应、睡眠、满意度和慢性疼痛。结果观察组VAS降低较对照组明显,差异具有统计学意义(P<0.05);观察组的总不良反应发生率为38.0%,低于对照组的62.0%,差异具有统计学意义(P<0.05);观察组患者的睡眠质量和治疗满意度均优于对照组,出院后慢性疼痛发生率观察组为4.0%低于对照组的20.0%,差异均存在统计学意义(P<0.05)。结论下肢骨折内固定术后应用西乐葆复合PCEA的多模式镇痛,疗效确切,可在临床广泛应用。
Objective To investigate the analgesic effect ofmultimodal analgesic ofcelebrex composite PCEA for lower limb fracture after internal fixation. Methods The clinical data of patients with lower limb fracture internal fixation in our hospital from May 2012 to October 2013 were analyzed retrospectively. 50 patients with multimodal analgesic of celebrex composite PCEA were set as observation group; other 50 patients with PCEA analgesia were set as the control group. The VAS score, adverse reactions, sleep, satisfaction and chronic pain were compared between two groups. Results The VAS score of the observation group decreased more significant than that of the control group （P〈0.05）. The total incidence of adverse reaction of the observation group was 38.0%, significantly lower than 62.0% of the control group （P 〈0.05）. The sleep quality and treatment satisfaction of the observation group were better than those of the control group （P 〈0.05）. The incidence of chronic pain after discharge was 4.0% in the observation group, significantly lower than 20.0% of the control group （P 〈0.05）. Conclusions Celebrex combined with PCEA multimodal analgesia for lower limb fracture after internal fixation has exact curative effect, which can be applied widely in clinic.
出处
《临床医学工程》
2014年第3期313-314,共2页
Clinical Medicine & Engineering
