|
|
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 ObjectiveTo 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.Methods60 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 continuous epidural block,and puncture time, postoperative VAS pain score,hospital stay and hospitalization cost and so on were observed.ResultsThe VAS score of group A were significantly lower than those of group B and group C at 1,4,16,24,48 h after operation(P<0.05).The VAS score of group B was lower than that of group C,but the difference was not statistically (P>0.05).The success rate of group A was 95.0%,which was significantly higher than that of group B and group C(85.0%and 80.0%),and the time of puncture was shorter than that of group B and C,the difference was statistically significant(P<0.05).The time of hospitalization and hospitalization in group A were significantly shorter than those in group B and group C,the difference was statistically significant(P<0.05).ConclusionThe clinical application of Flurbiprofen Axetil combined with lateral recessive obstruction in elderly patients with orthopedic surgery is simple,safe and effective.The success rate of puncture is high and the complication is less.
|
|
|
|
|
[1] |
高凯,王晓飞,马跃.氟比洛芬脂与塞来昔布在骨科手术超前镇痛中的效果比较[J].实用临床医药杂志,2016,20 (3):150-151.
|
[2] |
武倩,孙国明.在下肢椎管麻醉手术中使用氟比洛芬酯进行超前镇痛的效果分析[J].当代医药论丛,2015,13(7):231-232.
|
[3] |
高凯,王晓飞,王苗.氟比洛芬酯用于骨科手术超前镇痛的效果及不良反应观察[J].陕西医学杂志,2016,45(1):78-80.
|
[4] |
刘玉文.氟比洛芬酯超前镇痛对骨科手术术后镇痛临床效果分析[J].临床和实验医学杂志,2014,13(3):203-206.
|
[5] |
李永强.氟比洛芬酯超前镇痛对骨科手术术后镇痛效果的影响[J].中外医疗,2013,32(35):112.
|
[6] |
王晓飞,高凯,马跃.骨科手术患者应用氟比洛芬酯超前镇痛的临床意义[J].陕西医学杂志,2016,45(6):709-710.
|
[7] |
范海哲,张婧杰.不同剂量地佐辛复合氟比洛芬酯在下肢骨折手术术后镇痛的效果[J].临床麻醉学杂志,2014,30(10):1001-1004.
|
[8] |
沈明敬,徐中华,徐忠恒,等.氟比洛芬酯对胸外科手术超前镇痛效果观察[J].中国疼痛医学杂志,2014,20(10):760-762.
|
[9] |
孙搏,林英,张晶璟,等.非甾体抗炎药在骨科手术超前镇痛中的临床应用研究[J].现代生物医学进展,2016,16(14):2655-2659.
|
[10] |
龙云,王品,陈朴,等.氟比洛芬酯在多模式镇痛中的应用[J].国际麻醉学与复苏杂志,2015,36(5):440-442,462.
|
[11] |
王松平,荚卫东,李建生.超前镇痛在术后镇痛中的应用进展[J].实用肝脏病杂志,2014,17(4):433-436.
|
[12] |
孔繁明,王霖,乔美娜.非甾体类抗炎药在围术期超前镇痛中的应用研究进展[J].人民军医,2014,57(2):211-212.
|
[13] |
孟祥柳,胡彬.超前镇痛对疼痛影响的研究[J].中国临床研究,2014,27(5):616-617.
|
[14] |
张倩,尤浩军.“超前镇痛”研究进展及麻醉中应用[J].中国疼痛医学杂志,2016,22(4):241-244.
|
[15] |
贾秀眉,兰丽琴,汤礼贵.氟比洛芬酯对骨科手术超前镇痛及术后镇痛的临床疗效评价[J].中国临床药理学杂志,2016,32(2):150-152.
|
|
|
|