摘要
目的:探究自控硬膜外镇痛和鸡尾酒疗法对全髋关节置换术后患者的价值。方法:选取2017年1月-2018年5月于本院行全髋关节置换术的80例患者,按照随机数字表法将其分为自控镇痛组和鸡尾酒组,每组40例。比较两组患者术后静息状态和运动状态VSA评分、髋关节活动度、不良反应发生情况以及阿片类药物用量。结果:术后24、48 h,自控镇痛组患者静息状态和活动状态下VSA评分均显著低于鸡尾酒组,差异均有统计学意义(P<0.05),但术后72 h和出院时,两组患者静息状态和活动状态下VSA评分比较,差异均无统计学意义(P>0.05);术后1、3、7、14 d,两组患者髋关节活动度比较,差异均无统计学意义(P>0.05);自控镇痛组患者不良反应发生率显著高于鸡尾酒组,差异有统计学意义(P<0.05);自控镇痛组患者阿片类药物用量明显少于鸡尾酒组(P<0.05)。结论:自控硬膜外镇痛与鸡尾酒疗法对全髋关节置换患者术后髋关节功能恢复的影响无差异,临床治疗可根据患者自身情况个体化用药。
Objective:To explore the value of self-controlled epidural analgesia and cocktail therapy for patients after total hip replacement.Method:80 cases of total hip arthroplasty in our hospital from January 2017 to May 2018 were selected,they were divided into self-control analgesia group and cocktail group,with 40 cases in each group.The resting state and active state VSA score,hip mobility,adverse reactions and opioid dosage were compared between the two groups.Result:24 h and 48 h after the operation,the resting state and active state VSA scores in self-control analgesia group were significantly lower than those in cocktail group,the differences were statistically significant(P<0.05),but 72 h after the operation and at discharged,there were no differences between the resting state and the activity state VSA scores of the two groups(P >0.05).1,3,7,14 d after the operation,there were no statistically significant differences in the self-control analgesia hip joint activity group and the cocktail group(P >0.05).The incidence in the self-control analgesia group was significantly higher than that in the cocktail group,the difference was statistically significant(P<0.05);the dosage of opioids in the self-control analgesia group was significantly less than that in the cocktail group(P<0.05).Conclusion:Selfcontrolled epidural analgesia and cocktail therapy have no difference in the recovery of hip joint function after total hip replacement,and the clinical treatment can be used according to the patient’s own condition.
作者
陈国清
宋景姿
黄宏宇
CHEN Guoqing;SONG Jingzi;HUANG Hongyu(Lianjiang People’s Hospital,Lianjiang 524400,China)
出处
《中国医学创新》
CAS
2019年第5期55-58,共4页
Medical Innovation of China
关键词
自控硬膜外镇痛
鸡尾酒疗法
全髋关节置换
关节成形术
Self-controlled epidural analgesia
Cocktail therapy
Total hip replacement
Arthroplasty
