地塞米松用于硬膜外麻醉穿刺与置管路径预防术后腰背痛.docx
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1、实用疼痛学杂志2012年8月第8卷第4期 Pain clin J,August 2012,V018,N04287经验交流地塞米松用于硬膜外麻醉穿刺与置管路径预防术后腰背痛熊允传张正迪刘灿辉蔡铁良【摘要】目的观察地塞米松用于硬膜外麻醉穿刺与置管路径预防术后腰背痛的效果。方法择期硬膜外麻醉行下腹部、下肢手术患者600例,随机分为A、B、C、D 4组,每组150例。A组穿刺和置管路径局麻用药为1盐酸利多卡因;B组为穿刺路径加用地塞米松;C组在置管路径用地塞米松;D组在穿刺路径与置管路径均加用地塞米松。术后7 d采用视觉模拟评分法(VAs)评价腰背痛程度。结果D组疼痛发生率及程度较A、B、c组下降(P
2、o05),B、C组亦较A组下降(Po05),但B组与C组无统计学差异。结论硬膜外麻醉穿刺和置管路径给予地塞米松,能有效降低术后腰背痛发生率并减轻疼痛程度。【关键词】地塞米松;麻醉,硬膜外;腰背痛;穿刺术;路径DexamethasoneiIljection along the routes of puncture and intubation to preVent backache after lumbarepiduralanesthesiaX工ONGl么扎1“盘,2,ZHANGZ矗g咒g司i,L儿,C以规书“i,CA工丁妇一in咒gDepnrfmg卵o厂A挖es加gs幻zogy,174矗H05
3、pinZ o,(i以已5e PLA,N口超i咒g Com优a挖d,Xi,已押361003,Ci咒o【Abstract】0bjectiveToDbservetheeffectofdexamethasoneinjection along the routes ofpunctureandintubation toprevent the backache induced by 1umbar epidural anesthesia!ethodsSix hundredpatientsundergoinglowerabdomenorlowerlimboperationsweredividedintofour
4、groups11idocaine was injectedingr。upA,andlidocaineanddexamethasonewere injected ingroupB along thepunctureroute,dexamethasonewasaddedalong the intubated route in group C,and both alongthepunctureandintubatedroutesingroupDVASwasrecordedtoevaluatethebackache at7 dafterthe operation ResultsTheincidentr
5、ateanddegreeof backacheingroup Dwerelower than those in group B,C and D(PO05)Compare with group A,the incident rate anddegreeof backache was decreased in group B and C(PO05)ConcIusion Dexamethasone injection along the routes of puncture and intubation can reduce the incidence and severity of backach
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- 地塞米松 用于 硬膜外 麻醉 穿刺 路径 预防 术后 腰背
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