自控硬膜外腔镇痛治疗腰椎间盘突出症临床研究

杨晓秋; 熊艳峰; 程波; 王萍; 高进

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自控硬膜外腔镇痛治疗腰椎间盘突出症临床研究

临床研究 | 更新时间：2024-01-17

- 自控硬膜外腔镇痛治疗腰椎间盘突出症临床研究
- The clinical analysis of patient controlled epidural analgesia for symptomatic lumbar disc herniation
- 重庆医科大学学报 2007年第11期页码：1196-1199
- 作者机构：
  
  1. 重庆医科大学附属第一医院麻醉科
  2. 重庆医科大学附属第一医院麻醉科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R681.53
- 纸质出版日期：2007，
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[1]杨晓秋,熊艳峰,程波,王萍,高进.自控硬膜外腔镇痛治疗腰椎间盘突出症临床研究[J].重庆医科大学学报,2007(11):1196-1199.

YANG Xiaoqiu, et al. The clinical analysis of patient controlled epidural analgesia for symptomatic lumbar disc herniation[J]. Journal of Chongqing Medical University, 2007,(11):1196-1199.
[1]杨晓秋,熊艳峰,程波,王萍,高进.自控硬膜外腔镇痛治疗腰椎间盘突出症临床研究[J].重庆医科大学学报,2007(11):1196-1199. DOI：

YANG Xiaoqiu, et al. The clinical analysis of patient controlled epidural analgesia for symptomatic lumbar disc herniation[J]. Journal of Chongqing Medical University, 2007,(11):1196-1199. DOI：

摘要

目的:观察自控硬膜外腔镇痛治疗腰椎间盘突出症的临床疗效。方法:98例腰椎间盘突出症患者

分为两组:间断硬膜外腔注药组（n=54）

硬膜外腔注射含糖皮质激素镇痛复合液

4次为一疗程。自控硬膜外腔镇痛组（n=44）

于首次硬膜外腔注射后加行PCEA治疗7天;观察患者疗效及不良反应。结果:治疗第8天及疗程结束次日VAS评分

PCEA组分别为4.41±0.62、1.30±0.77

间断注药组分别为5.09±0.88、1.65±0.97

较治疗前均有显著性差异（P<0.01）。治疗第8天PCEA组优良率为77.3%

明显优于间断注药组（55.6%）。疗程结束次日PCEA组优良率（88.6%）仍高于间断注药组（81.5%）

但无显著性差异（P>0.05）。两组患者均无严重不良反应发生。结论:自控硬膜外腔镇痛治疗腰椎间盘突出症临床疗效确切

较间断硬膜外腔注药在治疗初期能更迅速地缓解患者症状和体征。

Abstract

Objective:To evaluate the curative effects of patient controlled epidural analgesia(PCEA)for symptomatic lumbar disc herniation.Methods:Lumbar disc herniation cases(n=98)were divided into two groups.The epidural drugs injection group(DEDI group

n=54)underwent the epidural drugs injection 4 times as one treatment course.The patient controlled epidural analgesia group(PCEA group

n=44)underwent the same treatment

but the first epidural drugs injection was followed by PCEA for 7 days.Evaluate the curative effects and the side effects.Results:VAS scores in both groups decreased significantly on the eighth day and at the end of the treatment

being 4.41±0.62 and 1.30±0.77 in the PCEA group and 5.09±0.88 and 1.65±0.97 in the DEDI group(P<0.01).On the eighth day

the curative satisfactory rate was 77.3% in the PCEA group

much better than 55.6% in the DEDI group(P<0.01).At the end of the treatment

the curative satisfactory rate in the PCEA group was 88.6%

higher than 81.5% in the DEDI group(P>0.05).No significant side effect was found during the treatment.Conclusion:PCEA is an effective method of lumbar disc herniation

and it relieves the symptoms and signs more quickly in the early treatment compared with the DEDI.

关键词

腰椎间盘突出症患者自控硬膜外腔镇痛糖皮质激素

Keywords

Lumbar disc herniationPatient controlled epidural analgesiaglucocorticoid

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