摘要
目的 :比较观察骨折病人做神经阻滞镇痛和哌替啶肌注镇痛的效果。方法 :将 10 7例骨折病人分两组 ,A组采用骨折后肌注哌替啶 1mg/kg(n =5 5 ) ;B组在骨折后采用相应部位的神经阻滞镇痛 (n =5 2 ) ,分别记录治疗后 10 ,30 ,60min时的VAS值和并发症。结果 :B组治疗后 30min无痛率为 19% ,而B组为 4 % ,显效率B组 5 4 % .A组 2 7% ,两组间比较无痛率和显效率均为B组高于A组 ,P <0 .0 1,有非常显著的差异。治疗后 1h无痛率A组和B组分别为 5 %和 2 3% ,显效率分别为39%和 5 8% ,两组间比较无痛率和显效率B组高于A组 ,P <0 .0 5 ,有显著差异。B组恶心呕吐发生率明显低于A组。结论 :对骨折创痛病人应用神经阻滞法解除骨折创痛 ,其效果优越于肌注哌替啶 ,且并发症少。
Purpose: To compare the analgesic effect induced by preoperative nerve block and dolantine injection in fracture patients. Method: The 107 patients were divided into two groups. The group A was given dolantine injection after fracture (n=55). Group B was given nerve block of coresponding part after fracture (n=52). Visual analogue score (VAS) for pain and complications were recorded 10 min, 30 min and 60 min after the treatment. Result: 30min after treatment, painless rate was 19% in group B, and 4% in group A, marked improvement was 54% in group B, and 27% in group A ( P <0.01). One hour after treatment, painless rate was 23% in group B, and 5% in group A. Effective rate was 58% in group B, and 39% in group A ( P <0.05). The occurance of nausia and vomitting was significantly lower in group B. Conclusion: The preoperative nerve block analgesia is a preferable method to relief the pain for fracture patients, with higher efficacy and lower complication than that of dolantine injection.
出处
《中国疼痛医学杂志》
CAS
CSCD
2001年第3期145-148,共4页
Chinese Journal of Pain Medicine
