| Objective:With a combination of neurotrophin mecobalamin and traumatic pain free ward mode,the pain score,dysfunction index,pain control satisfaction and complication rate of traumatic patients were studied by case control in the form of case control.The new application mode of traumatic pain free ward was discussed.The use value of painless ward is aimed at relieving pain and promoting functional recovery as soon as possible.Method:64 cases of thoracolumbar vertebral fracture in our department from January 2016 to September 2017 were randomly divided into groups of A and B,31 in group A and 33 in group B as in group B.Patients in group A were given Ketorolac Tromethamine Injection or parecoxib sodium plus neurotrophic agent Mecobalamin for analgesia.Patients in the B group was given Ketorolac Tromethamine Injection or parecoxib sodium injection.Compared two groups of patients after admission 1D,3D after admission,postoperative 1D,postoperative 3D,VAS,ODI index,ODI index,patient satisfaction,and complications,and statistically analyzed the differences between the two groups,there was no statistical significance.Results:1,There was no significant difference in VAS between group A and ID in the experimental group after admission,compared with those in the control group B group.There was no significant difference in VAS between the two groups(P>0.05)in the two groups.The experimental group A group 3D,1D and 3D VAS after admission were significantly lower than those of the control group B group.The VAS scores of the two groups were statistically different(P<0.05).2.The ODI index of 1D,3D and 1D,3D and 5D after operation in group A of the experimental group had no significant difference compared with that of the control group,and there was no significant difference in the ODI index between the two groups(P>0.05).3.The pain control satisfaction of the group A in the experimental group was 96.8%,and the pain control satisfaction of the control group was 93.9%,and the two groups had little difference in the relative ratio of pain control satisfaction,and there was no statistical significance(P>0.05).The satisfaction rate of patients in group B was significantly lower than that in group A,and there was a significant difference between the two groups(P<0.05).The incidence of gastrointestinal discomfort,dizziness and other complications in the group A of the experimental group was 3.23%.The rate of complications such as gastrointestinal discomfort and dizziness in the B group of the control group was 3.03%,and the incidence of complications in the two groups was not statistically significant(P>0.05).Conclusion:Compared with the simple application of Ketorolac Tromethamine Injection or parimoxib sodium injection,using the neurotrophic agent Mecobalamin on the basis of the neurotrophic agent,the VAS can be significantly reduced in the perioperative period and the acute inflammation period.It plays a certain role in promoting the recovery of the function.It can reduce the pain and pain of the patients and increase the patient’s diagnosis and treatment process.Comfort.The patient had an accepted attitude towards pain control and incidence of complications.Although there was no significant difference in pain control satisfaction and complications between the two groups of A and B,the patients with Mecobalamin Injection group were more satisfactory.Therefore,we can combine mecobalamin and traditional analgesic mode as a new analgesic mode in clinical practice,so that the majority of patients can benefit from it. |