患者自控硬膜外和静脉镇痛对髋关节术后疼痛控制的比较

S. Topaloğlu, M. Eroğlu, B. Çekiç, A. Eroğlu
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引用次数: 0

摘要

目的:接受全髋关节置换术的患者通常年龄较大,心肺储备有限。有效的术后疼痛控制与患者自控镇痛(PCA)可能有助于这些患者的康复。在本研究中,我们旨在比较患者自控硬膜外镇痛(PCEA)和患者自控静脉镇痛(PCIA)对髋关节置换术后疼痛控制的效果。方法:在我院骨科手术室对50例择期髋关节置换术患者进行研究。手术结束时,采用双盲选择方法将50例患者随机分为硬膜外组(E组)和静脉内组(IV组),并开始PCA方案。在确定的随访期间,对患者的血流动力学数据、疼痛和镇静水平以及可能的副作用进行评估。结果:在我们的研究中,两组比较的人口学数据、心率、呼吸频率和平均血压值没有差异。与E组相比,IV组术后疼痛随访中视觉模拟评分(VAS)值(P<0.001)、额外镇痛用量(P<0.05)、恶心呕吐、镇静等不良反应(P<0.05)均显著升高。结论:我们的研究表明,对于髋关节置换术术后疼痛管理,PCEA方法与PCIA方法相比具有更好的镇痛性能,改善了疼痛控制,减少了副作用的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of patient-controlled epidural and intravenous analgesia methods for postoperative pain control in patients after hip surgery
Objective: Patients undergoing total hip arthroplasty surgery are usually older and have limited cardiac and pulmonary reserves. Effective postoperative pain control with patient-controlled analgesia (PCA) may contribute to recovery in these patients. In this study, we aimed to compare the effectiveness of patient-controlled epidural analgesia (PCEA) and patient-controlled intravenous analgesia (PCIA) for pain control after hip arthroplasty. Methods: Our study was carried out in the orthopedic operating room of our hospital on 50 patients undergoing elective hip arthroplasty. At the end of the operation, the patients (n=50) were randomly divided into two groups: Group epidural (Group E) and Group intravenous (Group IV)] using a double-blind selection method, and PCA protocol was started. During the determined follow-up periods, the patients were evaluated regarding hemodynamic data, pain and sedation levels, and possible side effects. Results: In our study, no difference was observed between demographic data, heart rate, respiratory rate and mean blood pressure values ​​in comparisons between two groups. In Group IV compared to Group E, visual analog scale (VAS) values ​​(P<0.001), additional analgesic consumption (P<0.05) and undesirable effects such as nausea-vomiting and sedation (P<0.05) which were observed in postoperative pain follow-up were statistically significantly higher. Conclusion: Our study concluded that for postoperative pain management, the PCEA method has better analgesic performance, improves pain control and reduces the occurrence of side effects in hip arthroplasty compared to the PCIA method.
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