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首页> 外文期刊>Acute pain: international journal of acute pain management >Patient-controlled femoral nerve analgesia versus patient-controlled intravenous analgesia for postoperative analgesia after trochanteric fracture repair
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Patient-controlled femoral nerve analgesia versus patient-controlled intravenous analgesia for postoperative analgesia after trochanteric fracture repair

机译：股骨粗隆骨折修复术后患者自控股神经镇痛与患者自控静脉镇痛

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摘要

We assessed the efficacy of intravenous patient-controlled analgesia (PCA) and femoral nerve PCA after trochanteric fracture repair. A total of 40 patients were randomised to receive either femoral nerve PCA (Group I) or intravenous (IV) PCA (Group II) in the postoperative period. Group I received a continuous infusion of 0.125 bupivacaine at rate of 4ml h~(-1) plus PCA boluses of 3 ml with lockout time of 20 min. Morphine by IV PCA was applied as 1 mg bolus dose and 7 min lockout time in Group II. Pain scores (active-passive movement and during the resting), side effects, and patient satisfaction were recorded. Pain scores at rest were similar in both groups. Significantly better pain control at movement was observed in the Group I. Side effects were observed significantly more frequently in the Group II. Patient satisfaction was greater in Group I. Of the two PCA techniques tested, femoral nerve PCA with continuous infusion provides greater patient comfort both at rest and with ambulation than does IV PCA.
机译：我们评估了股骨转子骨折修复后静脉内自控镇痛（PCA）和股神经PCA的疗效。共有40例患者在术后期间随机接受股神经PCA（I组）或静脉内（IV）PCA（II组）。 I组以4ml h〜（-1）的速度连续注入0.125布比卡因，再加3 ml的PCA推注，锁定时间为20分钟。 II组静脉注射吗啡的吗啡剂量为1毫克，锁定时间为7分钟。记录疼痛评分（主动-被动运动和休息期间），副作用和患者满意度。两组的静息疼痛评分相似。在第一组中观察到运动时疼痛的控制明显改善。在第二组中观察到副作用的频率明显更高。在第一组中，患者的满意度更高。在所测试的两种PCA技术中，与IV PCA相比，连续输注股神经PCA可使患者在休息和移动时的舒适度更高。

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