Clinical Observation Of Postoperative Analgesia Of Spinal Thoracolumbar Fracture Under The Management Of Pain-free Therapy Modal

Background:With the rapid economic progress and great improvement of people’s living standard, increasing attention has been paid to the notion of pain, the fifth vital sign. More and more patients are showing interests in pain relief in their therapy process and what most patients care of after surgery in surgical department is the problem of postoperative pain. As a new discipline, spinal surgery definitely needs operation, with the unaware fact that most surgical procedures are traumatic, long-lasting and bloodloss inducing. Consequently, postoperative pain occurs early after surgery and untreated pain would surely give rise to a series of complications and even chronic pain, which might delay the normal rehabilitation and functional practice. As a result, spinal doctors must come to awareness that postoperative pain is of vital importance to their patients and you have to deal with it right away. Traditional analgesic methods have its advantages and avoidless side effects and there’s still a lack of standardized analgesic protocol and mature and efficient managerial experiences of postoperative pain control. The observation of clinical effects of pain-free therapy modal will provide a new choice of postoperative pain management in spinal surgery. Objective:This double-blind, randomized trial aimed at evaluating the clinical effects of postoperative analgesia of patients following surgeries on thoracolumbar fracture under the control of pain-free therapy modal (PTM)Methods:We studied80patients who were scheduling for open reduction and internal fixation by posterior approach with no statistical differences of preoperative pain scores (P>0.05). They were randomized into two groups with40numbers each and patients for the study group received PTM and compound agents would be injected into paraveterbral muscle intraoperatively. Patients for the control group experienced ordinary analgesic method. Mean VAS scores and mean sedation levels were assessed at4,8,12,24,36and48hours at every time interval postoperatively. Adverse events, total satisfactory rate, CI and salvage intervention times were noted as well.Results:There were71patients left, randomized for final statistical assess, with37patients in the study group and34ones in the control group totally. Compared with the control group, the study group saw higher sedation scores and lower pain scores at4,8,12,24,36,48hours time postoperatively with highly significance(P<0.01). Moreover, total morphine salvage times and multi-disciplinary intervention were significant lower as well than their counterparts (P<0.01). Furthermore, there were no significant differences in incidence rate of adverse events (P>0.05) while confidence index and overall satisfactory rate of the study group were higher than that of the control group (P<0.05). The study group had better analgesic outcomes.Conclusion:Comprehensive agents containing epinephrine, ropivacaine and morphine applied in postoperative analgesia for patients under veterbral body fracture with the control of pain-free therapy modal had acquired superior analgesic outcomes and little side effects, which meant that PTM was an effective analgesic protocol bringing about good pain relief, satisfied sleep, earlier rehabilitation and less economic burden. What’s more, it did lessen hospital stays and accelerate functional recovery and enhance total patients’satisfaction and confidence, which signified that it was a new analgesic choice for spinal surgeons.