疼痛干预在指屈肌腱显微修复术后的应用价值

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摘要目的探讨疼痛干预在指屈肌腱显微修复术后的应用价值。方法选取2017年5月至2019年7月南方医科大学第七附属医院收治的114 例指屈肌腱损伤患者作为研究对象，按照随机数字表法分为研究组（57 例）与对照组（57 例）。两组患者均给予显微手术治疗，对照组给予常规静脉麻醉，研究组在对照组基础上，术后行肌间沟臂丛神经阻滞，比较两组的疼痛视觉模拟评分法（VAS）评分、康复效果、白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNFα）及并发症发生情况。结果研究组术后1、2、4 周的VAS 评分均低于对照组，差异有统计学意义（P＜0.05）。治疗后两组IL-6、TNF-α 均低于治疗前，且研究组低于对照组，差异有统计学意义（P＜0.05）。研究组的预后优良率为98.2%，高于对照组的87.7%，差异有统计学意义（P＜0.05）。研究组的并发症总发生率为3.5%，低于对照组的17.5%，差异有统计学意义（P＜0.05）。结论疼痛干预在指屈肌腱显微修复术后的应用能促进缓解疼痛，减少并发症的发生，提高患者的总主动活动度优良率。

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	李冠军
	伍美艺
	邱辉
	杨迪
	刘永明

关键词 ：疼痛干预, 指屈肌腱, 显微手术, 并发症, 总主动活动度

Abstract：Objective To investigate the application value of pain intervention in flexor digitorum tendon microrepair.Methods A total of 114 patients with digital flexor tendon injury admitted to the Seventh Affiliated Hospital, Southern Medical University from May 2017 to July 2019 were selected as the research subjects, and they were divided into study group (57 cases) and control group (57 cases) according to random number table method.Both groups of patients were treated with microsurgery, the control group was given conventional intravenous anesthesia, and the study group received intermuscular brachial plexus block after operation on the basis of the control group.The pain visual analog scale (VAS) scores, rehabilitation effect, interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and complications of the two groups were compared.Results The VAS scores of the study group at 1, 2, and 4 weeks after operation were lower than those of the control group, and the differences were statistically significant (P＜0.05).After treatment, the levels of IL-6 and TNF-α in the two groups were lower than those before treatment, and the study group was lower than that in the control group, the differences were statistically significant (P＜0.05).The good prognosis rate of the study group was 98.2%, which was higher than 87.7% of the control group, and the difference was statistically significant (P＜0.05).The total incidence of complications in the study group was 3.5%, which was lower than 17.5% in the control group, and the difference was statistically significant (P＜0.05).Conclusion The application of pain intervention after micro-repair of finger flexor tendon can promote pain relief, reduce the occurrence of complications, and improve the excellent and good rate of patients' total active mobility.

Key words： Pain intervention Finger flexor tendon Microsurgery Complications Total active range of motion

基金资助:广东省佛山市卫生和计生局医学科研课题（2019 0270）。

引用本文:

李冠军；伍美艺；邱辉；杨迪；刘永明. 疼痛干预在指屈肌腱显微修复术后的应用价值[J]. 中国当代医药, 2021, 28(29): 88-90.
LI Guan-jun；WU Mei-yi；QIU Hui；YANG Di； LIU Yong-ming. Application value of pain intervention in digital flexor tendon microrepair. 中国当代医药, 2021, 28(29): 88-90.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I29/88

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