The Analgesic Effect Of Multimode Analgesia After Posterior Lumbar Interbody Fusion

Objective:To investigate the analgesic effect of multimodal analgesia after posterior lumbar interbody fusion.Methods: From December 2016 to December 2017,the patients were admitted to the First Division of the General Hospital of Xinjiang Military Region.The need for posterior lumbar interbody fusion in 78 patients,ASA I ~ II,the patients were randomly assigned to 2 groups: Both groups of patients were used standardized anesthesia program,group A(experimental group): all patients on the day of surgery the morning After oral administration of etoricoxib 120 mg,for patients with nerve root exposure during surgery,10 mg of dexamethasone injection was injected around the dural sac and nerve root after completion of decompression,and ropivacaine dilution 40 ml(ropivacaine)was administered.One branch 100 mg/10 ml with 30 ml normal saline was injected intramuscularly,deep fascia,and subcutaneously on each side of the wound.40 mg of parecoxib injection was injected intramuscularly,2/day,for 3 days.,A total of 39 cases;group B(control group)patients after PCIA(sufentanyl 50?g,dezocine 15 mg,tropisetron 5mg dissolved in saline to 100ml),a total of 39 cases;when the two groups of patients When the VAS score exceeds 4 points after surgery,330 mg of aminophenol is administered Ketone tablets are taken orally,and when the VAS score exceeds 6 points,then 50 mg of pethidine hydrochloride is given intramuscularly.Results: Compared with the control group,the VAS pain and Ramsay sedation score at 4 h,8 h,12 h,24 h and 48 h in group A were lower than those in group B(P<0.05);group A(92.30).The satisfactory rate of postoperative analgesia was significantly better than that of group B(84.6%): the incidence of adverse reactions in group A and group B was 7.6% and 17.9%,respectively.Conclusion: The results of the experiment show that there are many postoperative applications for lumbar interbody fusion.Modes of analgesia can significantly relieve postoperative acute pain and improve patient satisfaction,reduce the incidence of adverse reactions,and ensure early functional exercise.