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钱俊, 倪艳, 管飞. 酮咯酸氨丁三醇联合曲马多用于下肢骨科手术后静脉自控镇痛的临床研究[J]. 实用临床医药杂志, 2011, (17): 188-189. DOI: 10.3969/j.issn.1672-2353.2011.17.076
引用本文: 钱俊, 倪艳, 管飞. 酮咯酸氨丁三醇联合曲马多用于下肢骨科手术后静脉自控镇痛的临床研究[J]. 实用临床医药杂志, 2011, (17): 188-189. DOI: 10.3969/j.issn.1672-2353.2011.17.076
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QIAN Jun, NI Yan, GUAN Fe. The Clinical Research that Ketorolac Tromethamine combine Tramadoi Treatment Intravenous Controlled Analgesia After lower limb orthopedic surgery[J]. Journal of Clinical Medicine in Practice, 2011, (17): 188-189. DOI: 10.3969/j.issn.1672-2353.2011.17.076
Citation: QIAN Jun, NI Yan, GUAN Fe. The Clinical Research that Ketorolac Tromethamine combine Tramadoi Treatment Intravenous Controlled Analgesia After lower limb orthopedic surgery[J]. Journal of Clinical Medicine in Practice, 2011, (17): 188-189. DOI: 10.3969/j.issn.1672-2353.2011.17.076
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酮咯酸氨丁三醇联合曲马多用于下肢骨科手术后静脉自控镇痛的临床研究

The Clinical Research that Ketorolac Tromethamine combine Tramadoi Treatment Intravenous Controlled Analgesia After lower limb orthopedic surgery

    摘要
  • 摘要: 目的 观察联合酮咯酸氨丁三醇和曲马多用于下肢骨科手术后患者静脉自控镇痛的疗效.方法 选择80例ASA(Ⅰ ～Ⅱ)级择期在椎管内麻醉行下肢骨科手术的患者,随机分为2组:PCIA:曲马多组(A组)40例；曲马多复合酮咯酸氨丁三醇组(B组)40例.观察术后24 h内(6h、12 h、18h、24 h)VAS评分、PCA按压次数、不良反应情况.结果 术后6h、12 hB组VAS评分低于A组,2组患者恶心、呕吐、头晕、头痛等不良反应无明显差异,PCA按压次数减少.结论 酮咯酸氨丁三醇联合曲马多用于术后镇痛,可增强单用曲马多的镇痛效果,并且减少其用量,静脉自控镇痛效果好,而并不增加恶心、呕吐、头晕、头痛等不良反应发生率.

     

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