临床医药文献电子杂志
臨床醫藥文獻電子雜誌
림상의약문헌전자잡지
Journal of Clinical Medical Literature (ElectronicEdition)
2014年
12期
2077-2078
,共2页
高乌甲素%高龄患者%髋关节置换术%镇痛作用
高烏甲素%高齡患者%髖關節置換術%鎮痛作用
고오갑소%고령환자%관관절치환술%진통작용
Lappaconitine%Elderly patients%Hip replacement%Analgesic effect
目的：探究高乌甲素在高龄患者髋关节置换术后在镇痛中的应用。方法选取2012年9月～2014年3月在我院行髋关节置换术的高龄患者140例作为研究对象，按照随机数字表法将患者进行分组，每组70例患者，对照组患者在术后选用芬太尼进行镇痛，观察组患者在术后采用高乌甲素进行镇痛，比较两组的镇痛作用。结果观察组患者术后炎症反应的发生率（21.43%）明显好于对照组的（48.57%），观察组术后的不良反应等发生率（27.14%）明显低于对照组的（52.86%），差异具有统计学意义（P＜0.05）；观察组患者用药后的Barthel指数（巴氏指数）评分（53.9±8.5）分明显高于对照组的（31.3±7.1）分，差异具有统计学意义（P＜0.05）。结论在高龄患者行髋关节置换术后采用高乌甲素镇痛有良好的镇痛作用，可以有效缓解患者的疼痛程度，可以降低患者在术后发生炎症反应的几率，有利于患者术后的康复，值得在临床中推广应用。
目的：探究高烏甲素在高齡患者髖關節置換術後在鎮痛中的應用。方法選取2012年9月～2014年3月在我院行髖關節置換術的高齡患者140例作為研究對象，按照隨機數字錶法將患者進行分組，每組70例患者，對照組患者在術後選用芬太尼進行鎮痛，觀察組患者在術後採用高烏甲素進行鎮痛，比較兩組的鎮痛作用。結果觀察組患者術後炎癥反應的髮生率（21.43%）明顯好于對照組的（48.57%），觀察組術後的不良反應等髮生率（27.14%）明顯低于對照組的（52.86%），差異具有統計學意義（P＜0.05）；觀察組患者用藥後的Barthel指數（巴氏指數）評分（53.9±8.5）分明顯高于對照組的（31.3±7.1）分，差異具有統計學意義（P＜0.05）。結論在高齡患者行髖關節置換術後採用高烏甲素鎮痛有良好的鎮痛作用，可以有效緩解患者的疼痛程度，可以降低患者在術後髮生炎癥反應的幾率，有利于患者術後的康複，值得在臨床中推廣應用。
목적：탐구고오갑소재고령환자관관절치환술후재진통중적응용。방법선취2012년9월～2014년3월재아원행관관절치환술적고령환자140례작위연구대상，안조수궤수자표법장환자진행분조，매조70례환자，대조조환자재술후선용분태니진행진통，관찰조환자재술후채용고오갑소진행진통，비교량조적진통작용。결과관찰조환자술후염증반응적발생솔（21.43%）명현호우대조조적（48.57%），관찰조술후적불량반응등발생솔（27.14%）명현저우대조조적（52.86%），차이구유통계학의의（P＜0.05）；관찰조환자용약후적Barthel지수（파씨지수）평분（53.9±8.5）분명현고우대조조적（31.3±7.1）분，차이구유통계학의의（P＜0.05）。결론재고령환자행관관절치환술후채용고오갑소진통유량호적진통작용，가이유효완해환자적동통정도，가이강저환자재술후발생염증반응적궤솔，유리우환자술후적강복，치득재림상중추엄응용。
Objective To explore the Lappaconitine in aged patients after hip joint replacement in analgesia application. Methods From 2012 September to 2014 March in our hospital for hip replacement in elderly patients with 140 cases as the research object, according to the random number table method, the patients were grouped, each group of 70 patients, the patients of control group with fentanyl in postoperative analgesia, the observation group were treated by Lappaconitine were in postoperative analgesia the analgesic effect of the two groups were compared. Results The observation group patients postoperative inlfammatory reaction rate (21.43%) was signiifcantly better than the control group (48.57%), the patients in the observation group the incidence of adverse reaction (27.14%) was significantly lower than that in control group (52.86%), with statistical significance (P< 0.05); patients in the observation group after treatment Barthel index score (53.9 ± 8.5) were signiifcantly higher than control group (31.3+7.1), with statistical signiifcance (P<0.05). Conclusion In elderly patients after total hip arthroplasty with Lappaconitine pain has a good analgesic effect, can relieve the pain degree of patients, reduces the risk of patients with inflammatory reaction in postoperative patients, is conducive to the recovery after operation, it is worth in clinical application.
