髋关节置换采用中药联合经静脉白控镇痛多模镇痛临床观察
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R687.3

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Clinical Observation of Application of Chinese Medicine Combined with Multimodal AnaIgesia of Patient-controlled Intravenous AnaIgesia After Hip Replacement
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    摘要:

    目的:观察髋关节置换采用中药联合经静脉自控镇痛(PCIA)多模镇痛的临床疗效。方法:将行单侧人工全髋关节置换术的62例患者按随机对照原则将其录入计算机系统分为2组各31例。对照组采用单一PCIA的镇痛方式,研究组采用口服中药汤剂(身痛逐瘀汤)结合PCIA的多模镇痛方法协同治疗,比较2组患者在术后的静息状态下及活动状态疼痛视觉模拟评分法(VAS) 评分。结果:2组术后4 h、12 h、24 h、48 h、72 h、出院时各时间段静息状态下、活动状态下疼痛VAS评分分别比较,研究组均低于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论:髋关节置换采用中药联合PCIA多模镇痛能有效缓解患者术后疼痛,减少镇痛药物的使用,提高患者满意度,值得临床使用。

    Abstract:

    Objective: To observe the clinical effect of application of Chinese medicine combined with multimodal anaIgesia of patient-controlled intravenous anaIgesia(PCIA)after hip replacement.Methods:Recorded 62 cases of patients after unilateral artificial total hip replacement into computer system according to the principle of randomized control,and divided them into two groups,31 cases in each groups.The control group received single analgesia method of PCIA for treatment,while the study group received synergistic treatment of oral Chinese medicine decoction of Shentong Zhuyu tang combined with multimodal anaIgesia of PCIA.Compared VAS scores of patients under resting state and activity state after operation in the two groups.Results:VAS scores after 4 h,12 h,24 h,48 h and 72 h of operation as well as each discharge period under resting state and activity state in the study group were all lower than those in the control group,differences being significant(P<0.05,P<0.01).Conclusion:The application of Chinese medicine combined with multimodal anaIgesia of PCIA after hip replacement can effectively improve postoperative pain of patients,reduce administration of analgesics and improve satisfaction of patients,which is worthy of clinical application.

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陈向军,申震,王会如.髋关节置换采用中药联合经静脉白控镇痛多模镇痛临床观察[J].新中医,2018,50(4):102-104

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  • 在线发布日期: 2018-04-10
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