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- Title
骨质疏松性椎体压缩骨折经皮椎体后凸成形术中应用不同麻醉方式 对疼痛阈值的影响.
- Authors
张 浩; 蔡永林; 李 帆; 刘春霞; 韩 柳
- Abstract
To investigate the effect of different anesthesia methods on pain threshold during percutaneous kyphoplasty for osteoporotic vertebral compression fractures. 120 patients with osteoporotic vertebral compression fractures who received percutaneous kyphoplasty were randomly divided into general anesthesia group (n=40), local anesthesia group (n=40) and epidural anesthesia group (n=40). The anesthesia effect, pain threshold at different time points, total pain score and pain intensity, temperature pain threshold and electric pain threshold, as well as the situation of self-controlled analgesia and analgesic were compared and analyzed in the three groups. Excellent anesthesia rate was 95.00 % in general anesthesia group, 87.50 % in local anesthesia group and 92.50 % in epidural anesthesia group. Comparison of anesthesia effect among three groups showed that general anesthesia group was significantly better than local anesthesia group and epidural anesthesia group (P<0.05). With the prolongation of anesthesia time, the VAS value, PRI and PPI value, temperature pain threshold and electric pain threshold of patients in epidural anesthesia group were significantly lower than those in general anesthesia group and local anesthesia group ( P<0.05). In addition, the probability of taking other methods for pain relief in general anesthesia group was 1.67 %, local anesthesia group was 30.00 %, and epidural anesthesia group was 2.50 %, the difference was statistically significant (P<0.05). The effect of epidural anesthesia on percutaneous kyphoplasty for osteoporotic vertebral compression fracture is better than that of general anesthesia and local anesthesia, which is worthy of clinical application.
- Subjects
VERTEBRAL fractures; LOCAL anesthesia; PAIN threshold; EPIDURAL anesthesia; GENERAL anesthesia
- Publication
Progress in Modern Biomedicine, 2022, Vol 22, Issue 12, p2322
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2022.12.025