| 局部注射与静脉自控镇痛对DHS术后镇痛效果的比较 |
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| 引用本文： | 翁文杰,张海林,陈一心,邱勇.局部注射与静脉自控镇痛对DHS术后镇痛效果的比较[J].实用骨科杂志,2010,16(2):106-108. |
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| 作者姓名： | 翁文杰 张海林 陈一心 邱勇 |
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| 作者单位： | 江苏省南京市鼓楼医院骨科,江苏,南京,210008 |
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| 摘 要： | 目的研究股骨粗隆间骨折DHS术中向切口周围注射混合镇痛液的疗效。方法60例行股骨粗隆间骨折DHS术的患者随机分成两组各30例，注射组术中切口周围注射混合镇痛药，对照组术中不注射任何药物，两组均在术后48h内使用自控静脉镇痛，术后于不同时间点分别记录自控静脉镇痛的用岢，采用视觉模拟疼痛量表评估患者疼痛程度。结果注射组在术后各时段自控静脉镇痛使用量和48h内自控静脉镇痛使用总量比对照组明显少（P〈O．05）。与对照组相比，注射组在术后2、6、10、12、24、36、48h的静息状态视觉模拟疼痛量表评分和24、36、48h活动状态下的视觉模拟评分量表评分明显低（P〈O．05）；两组患者在术后3、7、15d静息和活动状态下的视觉模拟疼痛量表评分没有统计学差异。结论股骨粗隆间骨折患者在DHS术中向切口周围注射混合镇痛液，术后早期可有效缓解疼痛并减少阿片类药物的用量。
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| 关 键 词： | 粗隆间骨折 DHS 镇痛 |
Compared Local Multimodal Analgesic Drugs Injection to Patient-controlled Analgesia after DHS Surgery |
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| WENG Wen-jie,ZHANG Hai-lin,CHEN Yi-xin,et al.Compared Local Multimodal Analgesic Drugs Injection to Patient-controlled Analgesia after DHS Surgery[J].Journal of Practical Orthopedics,2010,16(2):106-108. |
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| Authors: | WENG Wen-jie ZHANG Hai-lin CHEN Yi-xin |
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| Institution: | WENG Wen-jie,ZHANG Hai-lin,CHEN Yi-xin,et al(Department of Orthopaedics,Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing 210008,China) |
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| Abstract: | Objective To study the efficacy of peri-incisional injection with multimodal analgesic drugs in DHS operation for intertrochanteric fractures.Methods 60 patients undergoing DHS operation were randomized to two groups,30 patients received peri-incisional injection of multimodal analgesic drugs intraoperative,and others not.Pain of patients was evaluated with a visual analog scale postoperatively,and all patients received patient-controlled analgesia for 24 hours after surgery.The consumption of patient-contr... |
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| Keywords: | DHS |
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