切口持续镇痛方法对腹部术后镇痛效果和短期预后影响的评价.pdf

《切口持续镇痛方法对腹部术后镇痛效果和短期预后影响的评价.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、中华流行病学杂志2013年11月第34卷第11期ChinJEpidemiol，November2013，Vo1．34，No．11·l125··II台床研究·切口持续镇痛方法对腹部术后镇痛效果和短期预后影响的评价郑行蔡秀军【摘要】目的评估上腹部术后通过弹性输注泵对切口持续浸润局部麻醉给药方法的镇痛效果，及是否能够减少阿片类药物的用量。方法回顾分析2012年1—9月接受上腹部手术患者285例，其中144例术后使用弹性输注泵行切口持续浸润的镇痛管理(LA)，141例为自控静脉镇痛管理(PCA)，评估两组静息状态和活动后视觉模拟评分法(VAS)评

2、分、阿片类药物用量、肠道功能恢复情况、切口愈合以及并发症情况。结果两组患者术后48h内VAS评分差异无统计学意义，术后72h静息状态VAS评分LA组高于PCA组(P<0．001)。LA组术后72h内阿片类药物用量低于PCA组(P

3、】镇痛；白控镇痛；局部麻醉；切口感染Studyontheeffectivenessofcontinuouslocalinfiltrationanalgesiaandrelatedshort—termprognosisafterlaparotomyZHENGXtn，CAIXiu-juni．、DepartmentofAnesthesiology，2DepartmentofGeneralSurgery，SirRunRunShawHospitalAffiliatedwithMedicalCollegeofZheiiangUniversity．日0

4、ngzhou310016．ChinaCorrespondingauthor：CAIXiu=iun，Email：catherine．a@163．com【Abstract】0bjectiveToevaluatetheefectivenessofincisionalinfusionthroughlocalanestheticsunderacontinuous—infusionelastomericpumpforthemanagementofpostoperativepainafterlaparotomy．onreducingtheamounto

5、fopioidsbeingusedaftersurgery．MethodsWeperformedaretrospectivecomparativeanalysison285patientswhohadundergonelaparotomiesbetweenJanuary2012andSeptember2012．Amongthosepatients．144tookacontinuous．infusionelastomericpumptoreceiveloca1anesthetic(LA)attheincisionalareaforposto

6、perativepainmanagementwhileanother141patientstook‘patient—controlled’intravenousanalgesia(PCA)．Datawerereviewedoniternsas：visualanalogpainscores(VAS)duringbothrestingandactivesituation。meanopioiduse．bowelfunction．conditionofincisionandcomplicationsetc．ResultsBothgroupssho

7、wedsimilarVASscoresforthefirst48hourspost—operation．However．intheLAgroup．、，ASscoresappearedsignificantlyhigherwithinthefirst72hours(P

8、mparedtothePCAgroup．Nosignificantdifferencefoundontheincidenceratesofwoundinfectionotherthan．ahi