氟比洛芬脂联合侧隐窝阻滞在老年患者下肢骨科手术超前镇痛中的应[摘要]目的?^察氟比洛芬脂联合侧隐窝阻滞在老年患者下肢骨科手术超前镇痛中的应用效果。方法选取2016年1～12月在我院择期行下肢骨科手术的老年患者60例为研究对象，采用随机数字表法分成A、B、C组，每组20例。A组采用氟比洛芬脂+侧隐窝阻滞作为联合超前镇痛；B组采用侧隐窝阻滞并术后连续侧隐窝镇痛；C组采用单纯连续硬膜外阻滞。观察三组侧隐窝阻滞和硬膜外阻滞穿刺成功率和穿刺时间，术后VAS疼痛评分及住院天数和住院费用等。结果A组术后1、4、16、24、48h的VAS评分均明显低于B、C组，差异有统计学意义（P<0.05），B组各时间VAS评分低于C组，但差异无统计学意义（P>0.05）；A组穿刺成功率为95.0%，明显高于B、C组的85.0%、80.0%，穿刺时间也较B、C组明显缩短，差异均有统计学意义（P<0.05）；A组住院时间、住院费用均较B组和C组明显缩短和减少，差异有统计学意义（P<0.05）。结论临床中针对老年患者下肢骨科手术中采用氟比洛芬脂联合侧隐窝阻滞超前镇痛，操作简便，安全有效，穿刺成功率高，并发症少，具有推广意义。[关键词]氟比洛芬脂；侧隐窝阻滞；下肢骨科手术；超前镇痛[]R614.2+4[文献标识码]A[]1674-4721（2017）05（b）-0100-03ApplicationofFlurbiprofenAxetilcombinedwithlateralrecessblockinpreemptiveanalgesiainelderlypatientsundergoingtheorthopedicsoperationoflowerlimbZENG激an-feng1HUANGZhi-si2LIU激ang-mei3HUZhao-yun1TANGChao31.DepartmentofAnesthesia，ChineseMedicineHospitalofHuiyangDistrictinHuizhouCityofGuangdongProvince，Huizhou516211，China；2.OperatingRoom，ChineseMedicineHospitalofHuiyangDistrictinHuizhouCityofGuangdongProvince，Huizhou516211，China；3.DepartmentofOrthopedicsandTraumatology，ChineseMedicineHospitalofHuiyangDistrictinHuizhouCityofGuangdongProvince，Huizhou516211，China[Abstract]ObjectiveToobservetheapplicationeffectofFlurbiprofenAxetilcombinedwithlateralrecessblockinpreemptiveanalgesiainelderlypatientsundergoingtheorthopedicsoperationoflowerlimb.Methods60elderlypatientsscheduledforlowerextremityorthopedicsurgeryfromJanurarytoDecember2016inourhospitalwereselectedandtheyweredividedintogroupA，BandCbyrandomnumbertable，andtherewere20casesineachgroup.GroupAwasgivenFlurbiprofenAxetilcombinedwithlateralrecessblockforpreemptiveanalgesia.GroupBwasgivenlateralrecessiveobstructionandpostoperativecontinuouslateralrecessanalgesia.GroupCwasgivensimplecontinuousepiduralblock.Thesuccessrateofpunctureforlateralrecessiveobstructionandcontinuousepiduralblock，andpuncturetime，postoperativeVASpainscore，hospitalstayandhospitalizationcostandsoonwereobserved.ResultsTheVASscoreofgroupAweresignificantlylowerthanthoseofgroupBandgroupCat1，4，16，24，48hafteroperation（P<0.05）.TheVASscoreofgroupBwaslowerthanthatofgroupC，butthedifferencewasnotstatistically（P>0.05）.ThesuccessrateofgroupAwas95.0%，whichwassignificantlyhigherthanthatofgroupBandgroupC（85.0%and80.0%），andthetimeofpuncturewasshorterthanthatofgroupBandC，thedifferencewasstatisticallysignificant（P<0.05）.ThetimeofhospitalizationandhospitalizationingroupAweresignificantlyshorterthanthoseingroupBandgroupC，thedifferencewasstatisticallysignificant（P<0.05）.ConclusionTheclinicalapplicationofFlurbiprofenAxetilcombinedwithlateralrecessiveobstructioninelderlypatientswithorthopedicsurgeryissimple，safeandeffective.Thesuccessrateofpunctureishighandthecomplicationisless.[Keywords]FlurbiprofenAxetil；Lateralrecessobstruction；Orthopedicsoperationoflowerlimb；Preemptiveanalgesia随着我国人均寿命的显著增长，老年骨科患者也在增加，其中下肢骨...