CAJ | 학술논문

目的探讨术中多模式药物注射对腕部术后疼痛控制的影响.方法 2006年9月-2008年10月,对62例桡骨远端骨折需手术的患者,采用掌侧Henry人路和AO掌侧钢板固定.术中将患者随机分成两组:多模式药物注射组(MI组)和非多模式药物周围注射组(NMI组).多模式药物注射混合液由罗哌卡因、吗啡、复方倍他米松和肾上腺素配方组成.观察患者术后疼痛情况(VAS)包括静息痛、运动疼痛,并监测术后阿片类药物使用量和并发症.结果 MI组术后静息疼痛和运动疼痛评分均比NMI组低,术后阿片类镇痛药物使用量比NMI组少,两组间差异有统计学意义.术后两组均无并发症发生.绪论术中多模式药物注射能有效地控制腕部手术术后的疼痛且并发症少,有利于腕关节功能的恢复.
목적 탐토술중다모식약물주사대완부술후동통공제적영향.방법 2006년9월-2008년10월,대62례뇨골원단골절수수술적환자,채용장측Henry인로화AO장측강판고정.술중장환자수궤분성량조:다모식약물주사조(MI조)화비다모식약물주위주사조(NMI조).다모식약물주사혼합액유라고잡인、마배、복방배타미송화신상선소배방조성.관찰환자술후동통정황(VAS)포괄정식통、운동동통,병감측술후아편류약물사용량화병발증.결과 MI조술후정식동통화운동동통평분균비NMI조저,술후아편류진통약물사용량비NMI조소,량조간차이유통계학의의.술후량조균무병발증발생.서론술중다모식약물주사능유효지공제완부수술술후적동통차병발증소,유리우완관절공능적회복.
Objective To investigate the clinical efficacy of intraoperative muhimodal analgesic injection for postoperative pain control following wrist surgery. Methods From September 2006 to October 2008, 62 patients with distal radius fractures were surgically treated. All fractures were stabilized with AO volar plates via Henry approach. Intraoperafively the patients were randomized to either receive an intraopemfive muhimodal analgesic injection containing ropivacaine, epimorphine, betamethasone and epinephrine (Group MI) or to receive no injection ( Group NMI). Visual analog scores for postoperative pain during rest and activity were recorded. Narcotics consumption and the side effects were monitored. Results Visual analog scores for pain during rest and postoperative activity in Group MI were lower than those in Group NMI with statistically significant differences. There was less postoperative narcotics consumption in Group MI than in Group NMI. No complications were found in both groups. Conclusion Intraoperative multimodal analgesic injection is an effective approach to control postoperative pain following wrist surgery. It can lead to a quick functional recovery in patients with less comphcations.