《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (05): 472-474.

• 论文 • 上一篇    下一篇

多模式镇痛在脊柱外科微创手术中的应用

杨同文，王强，王增春，白金柱，洪毅，张军卫,   

  1. 1.北京市怀柔区中医医院麻醉科，北京市101400；2.中国康复研究中心北京博爱医院，a.麻醉科；b.脊柱脊髓外科，北京市100068；3.首都医科大学康复医学院，北京市100068。
  • 收稿日期:2012-12-10 修回日期:2012-12-26 出版日期:2013-05-25 发布日期:2013-05-25
  • 通讯作者: 王强

Application of Multimodal Analgesia in Minimally Invasive Surgery for Patients in Spine Surgery

YANG Tong-wen, WANG Qiang,WANG Zeng-chun, et al.   

  1. Department of Anesthesiology, Beijing Huairou Hospital of Traditional Chinese Medicine, Beijing 101400, China
  • Received:2012-12-10 Revised:2012-12-26 Published:2013-05-25 Online:2013-05-25

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摘要： 目的探讨多模式镇痛在脊柱外科微创手术中的应用。方法选择21 例在多模式镇痛模式下接受脊柱外科微创手术的患者，观察术中血流动力学、呼吸监测指标、镇痛镇静评分、不良反应事件、术者及患者对手术过程满意度评价。结果手术过程顺利，血流动力学稳定，呼吸功能无抑制，患者及术者对手术过程满意。结论多模式镇痛能够使患者在最舒适的环境下接受脊柱外科微创手术，同时不影响术者与患者在术中进行交流。

关键词: 多模式镇痛, 脊柱, 微创手术

Abstract: Objective To apply the multimodal analgesia (MMA) in minimally invasive surgery (MIS) for patients in spine surgery.Methods 21 patients undergoing MIS were selected to be reviewed, including haemodynamics, respiratory parameters, analgesia and sedation scale, side effects, satisfaction of operators and patients in the course of the operation. Results All the MIS was successful with excellent analgesia, conscious sedation, stable haemodynamics, unsuppressed respiratory function, and satisfaction of operators and patients. Conclusion Patients under MMA would accept MIS in a comfortable state and the communication between patients and operators would not be inhibited.

Key words: multimodal analgesia, spine, minimally invasive surgery