三氧治疗椎管内麻醉后腰背部疼痛的疗效研究

发布时间：2018-02-01 01:35

本文关键词： 医用三氧椎管内麻醉腰背痛　出处：《哈尔滨医药》2016年04期 　论文类型：期刊论文

【摘要】：目的观察三氧治疗椎管内麻醉后腰背部疼痛的疗效。方法收集我院就诊的曾行椎管内麻醉后出现腰背部疼痛患者140例,随机分为三氧治疗组及常规治疗组,每组各70例。三氧治疗组:三氧浓度为30μg/m L,每次棘突间注射5 m L,每间隔1天注射一次,3次为一疗程。常规治疗组:选择局部封闭治疗为主,封闭治疗药物为2%利多卡因2 m L+地塞米松1mg+0.9%氯化钠注射液配成5 m L混合液,每次棘突间注射5 m L,每间隔1天注射一次,3次为一疗程。结果三氧治疗组总有效率(95.71%)高于常规治疗组(81.43%);两组在治疗后的疼痛评分、平均疼痛缓解时间、日常生活能力评分及睡眠质量评分比较,差异有显著的统计学意义(P0.01)。结论三氧治疗椎管内麻醉后腰背部疼痛的疗效确切,值得临床推广。
[Abstract]:Objective to observe the efficacy of trioxygenation in the treatment of lumbar and back pain after spinal canal anesthesia. Methods 140 patients with lumbar and back pain after spinal canal anesthesia were randomly divided into three oxygen treatment group and routine treatment group. There were 70 cases in each group. In the trioxide treatment group, the concentration of trioxide was 30 渭 g / mL, 5 mL was injected into the spinous process every time, once every 1 day. Three times as a course of treatment. Routine treatment group: select local blocking treatment. 2% lidocaine 2 mL dexamethasone 1 mg 0.9% sodium chloride injection was combined with 5 mL mixed solution, and 5 mL / L was injected into the interspinous process. Results the total effective rate of the treatment group was 95.71% higher than that of the routine treatment group (81.43%). The scores of pain, average time of pain relief, ability of daily life and sleep quality were compared between the two groups after treatment. Conclusion the effect of trioxygenation on lumbar and back pain after intraspinal anesthesia is definite and worthy of clinical application.
【作者单位】：佛山市顺德区大良医院;
【分类号】：R614
【正文快照】： 椎管内麻醉是现阶段我国手术治疗中常用的麻醉方法,虽然椎管内麻醉的效果很好,但容易出现腰背疼痛等并发症,通常情况下腰背痛出现在腰部椎管内麻醉后,常见的有脊髓麻醉、腰硬联合麻醉和硬膜外麻醉等。患者的疼痛现象可持续数天或数周不等,更有患者可遗留3个月以上[1]。因此给

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