氟比洛芬脂联合侧隐窝阻滞在老年患者下肢骨科手术超前镇痛中应用.docVIP

氟比洛芬脂联合侧隐窝阻滞在老年患者下肢骨科手术超前镇痛中应用 　　[摘要]目的 ?^察氟比洛芬脂联合侧隐窝阻滞在老年患者下肢骨科手术超前镇痛中的应用效果。方法 选取2016年1～12月在我院择期行下肢骨科手术的老年患者60例为研究对象，采用随机数字表法分成A、B、C组，每组20例。A组采用氟比洛芬脂+侧隐窝阻滞作为联合超前镇痛；B组采用侧隐窝阻滞并术后连续侧隐窝镇痛；C组采用单纯连续硬膜外阻滞。观察三组侧隐窝阻滞和硬膜外阻滞穿刺成功率和穿刺时间，术后VAS疼痛评分及住院天数和住院费用等。结果 A组术后1、4、16、24、48 h的VAS评分均明显低于B、C组，差异有统计学意义（P0.05）；A组穿刺成功率为95.0%，明显高于B、C组的85.0%、80.0%，穿刺时间也较B、C组明显缩短，差异均有统计学意义（P0.05）；A组住院时间、住院费用均较B组和C组明显缩短和减少，差异有统计学意义（P0.05）。结论 临床中针对老年患者下肢骨科手术中采用氟比洛芬脂联合侧隐窝阻滞超前镇痛，操作简便，安全有效，穿刺成功率高，并发症少，具有推广意义。 　　[关键词]氟比洛芬脂；侧隐窝阻滞；下肢骨科手术；超前镇痛 　　[中图分类号] R614.2+4 [文献标识码] A [文章编号] 1674-4721（2017）05（b）-0100-03 　　Application of Flurbiprofen Axetil combined with lateral recess block in preemptive analgesia in elderly patients undergoing the orthopedics operation of lower limb 　　ZENG Jian-feng1 HUANG Zhi-si2 LIU Jiang-mei3 HU Zhao-yun1 TANG Chao3 　　1.Department of Anesthesia，Chinese Medicine Hospital of Huiyang District in Huizhou City of Guangdong Province，Huizhou 516211，China；2.Operating Room，Chinese Medicine Hospital of Huiyang District in Huizhou City of Guangdong Province，Huizhou 516211，China；3.Department of Orthopedics and Traumatology，Chinese Medicine Hospital of Huiyang District in Huizhou City of Guangdong Province，Huizhou 516211，China 　　[Abstract]Objective To observe the application effect of Flurbiprofen Axetil combined with lateral recess block in preemptive analgesia in elderly patients undergoing the orthopedics operation of lower limb.Methods 60 elderly patients scheduled for lower extremity orthopedic surgery from Janurary to December 2016 in our hospital were selected and they were divided into group A，B and C by random number table，and there were 20 cases in each group.Group A was given Flurbiprofen Axetil combined with lateral recess block for preemptive analgesia.Group B was given lateral recessive obstruction and postoperative continuous lateral recess analgesia.Group C was given simple continuous epidural block.The success rate of puncture for lateral recessive obstruction and continu