摘要
目的观察连续腰丛阻滞(CLPB)在下肢关节置换患者术后镇痛的应用效果。方法腰丛联合同侧坐骨神经阻滞麻醉下行下肢关节置换患者46例随机分为A、B组,A组26例,术后应用CLPB镇痛;B组20例术后不用CLPB镇痛。比较两组心理情绪(ES)和VAS疼痛评分。结果两组术后VAS疼痛、ES评分均比术前明显改善,A组疼痛缓解率明显高于B组[(81.2±7.3)%vs.(53.6±8.2)%](P<0.05)。结论术后CLPB能明显缓解下肢关节置换患者术后疼痛,减轻紧张焦虑、恐惧心态,有利于早期康复锻炼。
Objective To observe the outcomes of continuous lumbar plexus block（CLPB） in the patients underwent articulus replacement of the lower limbs. Methods Under lumbar plexus block combined with homolateral sciatic nerve block, articulus replacements of the lower limbs were performed in 46 cases, who were randomly divided into two groups of A（26 cses, given CLPB for postoperative analgesia） and B（20 cases, without postoperative CLPB）. The VAS pain score and emotional scale（ES） score were recorded before and within one week after surgery. Results The VAS pain score and ES score were all improved after surgery compared to before. The remission rate was significantly higher in group A than that in group BE（81.2 7. 3）% vs. （53.6 8. 2）%]（P〈0. 05）. Conclusion Postoperative analgesia with CLPB can effectively reduce pain and attenuate anxiety of the patients after articulus replacement of the lower limbs, which especially benefits for the early rehabilitation exercises.
出处
《江苏医药》
CAS
CSCD
北大核心
2012年第21期2569-2570,共2页
Jiangsu Medical Journal
关键词
持续腰丛阻滞
术后镇痛
关节置换术
Continuous lumbar plexus block
Postoperative analgesia
Articulus replacement
