| 自控硬膜外腔镇痛治疗腰椎间盘突出症疗效观察 |
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| 引用本文： | 熊艳峰,杨晓秋,闵苏,程波,王萍.自控硬膜外腔镇痛治疗腰椎间盘突出症疗效观察[J].重庆医学,2009,38(20). |
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| 作者姓名： | 熊艳峰 杨晓秋 闵苏 程波 王萍 |
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| 作者单位： | 重庆医科大学附属第一医院麻醉科,400016 |
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| 摘 要： | 目的 观察自控硬膜外腔镇痛(PCEA)治疗腰椎间盘突出症的疗效及硬膜外腔注射糖皮质激素对患者血糖的影响.方法 将123例腰椎间盘突出症患者分为两组:PCEA组(n=55),硬膜外腔注射含糖皮质激素镇痛复合液,7d 1次,4次为1个疗程,首次硬膜外腔注射后行PCEA治疗7d;间断注药组(n=68),硬膜外腔注射含糖皮质激素镇痛复合液,7d 1次,4次为1个疗程.观察患者疗效及不良反应.于治疗前、治疗第9天、疗程结束次日监测空腹静脉血糖.结果 治疗第9天及疗程结束次日两组患者视觉模拟量表(VAS)评分均明显降低,PCEA组分别为(3.26±0.41)分、(1.15±0.67)分,间断注药组分别为(4.98±0.66)分、(1.68±0.87)分,较治疗前差异均有统计学意义(P<0.01).治疗第9天PCEA组优良率为76.4%,明显优于间断注药组(55.9%).疗程结束次日PCEA组优良率(89.1%)仍高于间断注药组(82.4%),但差异无统计学意义(P＞0.05).两组患者血糖均较治疗前升高,但仍在正常值范围内.两组患者均无严重不良反应发生.结论 PCEA治疗与间断硬膜外腔注射治疗腰椎间盘突出症临床疗效均较确切.但PCEA治疗在治疗早期能更迅速地缓解患者症状和体征.硬膜外腔注射糖皮质激素可引起患者血糖升高,但仍在正常值范围内.
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| 关 键 词： | 腰椎间盘突出症 患者自控硬膜外腔镇痛 糖皮质激素 血糖 |
Curative effects of patient controlled epidural analgesia for symptomatic lumbar disc herniation |
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| Abstract: | Objective To evaluate the curative effects of patient controlled epidural analgesia(PCEA) for symptomatic lumbar disc herniation and the influence of epidural glucocorticoid injection on the blood-glucose.Methods Lumbar disc herniation cases(n=123) were divided randomly into two groups.The patient controlled epidural analgesia group(PCEA group,n=55),accepted the epidural drugs injection every 7 days and 4 injections for a total treatment,accompaniment the first epidural drugs injection was followed by PCEA ... |
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| Keywords: | lumbar disc herniation patient controlled epidural analgesia glucocorticoid blood-glucose |
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