摘要
目的观察地塞米松用于硬膜外麻醉穿刺与置管路径预防术后腰背痛的效果。方法择期硬膜外麻醉行下腹部、下肢手术患者600例，随机分为A、B、C、D4组，每组150例。A组穿刺和置管路径局麻用药为1％盐酸利多卡因；B组为穿刺路径加用地塞米松；C组在置管路径用地塞米松；D组在穿刺路径与置管路径均加用地塞米松。术后7d采用视觉模拟评分法（VAs）评价腰背痛程度。结果D组疼痛发生率及程度较A、B、c组下降（P〈0．05），B、C组亦较A组下降（P〈0．05），但B组与c组无统计学差异。结论硬膜外麻醉穿刺和置管路径给予地塞米松，能有效降低术后腰背痛发生率并减轻疼痛程度。
Objective To observe the effect of dexamethasone injection along the routes of puncture and intubation to prevent the backache induced by lumbar epidural anesthesia. Methods Six hundred patients undergoing lower abdomen or lower limb operations were divided into four groups. 1% lidocaine was injected in group A, and lidocaine and dexamethasone were injected in group B along the puncture route, dexamethasone was added along the intubated route in group C, and both along the puncture and intubated routes in group D. VAS was recorded to evaluate the backache at 7 d after the operation. Results The incident rate and degree of backache in group D were lower than those in group B, C and D （P〈0.05）. Compare with group A, the incident rate and degree of backache was decreased in group B and C（P〈0.05）. But there was no significant difference between group B and C （P〉0.05）. Conclusion Dexamethasone injection along the routes of puncture and intubation can reduce the incidence and severity of backache after the epidural anesthesia.
出处
《实用疼痛学杂志》
2012年第4期287-288,共2页
Pain Clinic Journal
关键词
地塞米松
麻醉
硬膜外
腰背痛
穿刺术
路径
Dexamethasone
Anesthesia, epidural
Low back pain
Punctures
Pathway
