生物骨科材料与临床研究2018，Vol.15Issue(2)：25-27,31,4.DOI:10.3969/j.issn.1672-5972.2018.02.006
术区局部镇痛在经皮椎弓根钉治疗胸腰椎骨折中的自身对照研究
A self-control study of local analgesia in treatment of thoracolumbar fractures with percutaneous pedicle screw fixation
陈磊 1荆珏华 1钱军 1朱斌 1钟华璋 1田大胜1
作者信息
- 1. 安徽医科大学第二附属医院骨科,安徽 合肥,230601
- 折叠
摘要
Abstract
Objective To investigate the clinical effects of local analgesia in treatment of thoracolumbar fractures with percutaneous pedicle screw fixation.Methods Using self-control prospective method,35 patients with thoracolumbar fractures who underwent percutaneous pedicle screw fixation in our department from Jan 2014 to Mar 2016 were enrolled in this study.For every patient,the right incision and left incision were randomly divided into group A (local analgesia with combination of ropivacaine and epinephrine),and group B (control group).The VAS of unilateral back pain after surgery (3,6,12,24,48 h,1 year),preoperative and 1 year postoperative ODI,postoperative complications and incisions were recorded.Results VAS score in local analgesia group were lower than those in control group at 3,6,12,24 h (P＜0.05);there were no significant differences in 48 h and 1 year VAS score between the 2 groups (P＞0.05).1 year postoperative ODI were lower than preoperative ODI (P＜0.05).No serious postoperative complication was found in these patients.Conclusion Local analgesia with combination ofropivacaine and epinephrine in posterior spinal surgery can effectively reduce early pain after operation,which is a simple,safe and effective early analgesia method.关键词
胸椎/腰椎/骨折/经皮椎弓根螺钉/局部镇痛/罗哌卡因Key words
Thoracic vertebra/Lumbar vertebrae/Fracture/Percutaneous pedicle screw/Local analgesia/Ropivacaine分类
医药卫生引用本文复制引用
陈磊,荆珏华,钱军,朱斌,钟华璋,田大胜..术区局部镇痛在经皮椎弓根钉治疗胸腰椎骨折中的自身对照研究[J].生物骨科材料与临床研究,2018,15(2):25-27,31,4.
