Observation on the pre-analgesic effect of butorphanol in patients with lower extremity fracture before low dose and light weight combined lumbo-epidural anesthesia
Objective:To investigate and analyze the pre-analgesic effect of butorphanol on patients with lower extremity fracture before low dose light weight combined lumbo-epidural anesthesia.How:A total of 60 patients with lower extremity fracture undergoing low-dose light-weight lumbago and epidural anesthesia admitted to our hospital from February 2022 to December 2023 were selected.According to whether butorphanol was used as a sedative before anesthesia,the included subjects were divided into the non-use group and the use group(pre-analgesia with butorphanol),with 30 patients in each group.The sedation effect,pain score changes and the incidence of adverse reactions were compared between the two groups at different time points.Results:The sedation scores of 5 minutes(T2),15 minutes(T3),30 minutes(T4)after anesthesia and T5 after surgery were higher than those of the non-use group,and the difference was statistically significant(P<0.05).At 4 hours,8 hours,12 hours and 24 hours after surgery,the pain score of the treatment group was lower than that of the non-treatment group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the non-use group and the use group was 10.00%and 36.67%,and the incidence of adverse reactions in the use group was lower than that in the two groups,and the difference was statistically significant(P<0.05).Conclusion:Preemptive analgesia of butorphanol before low dose and light weight combined lumbo-epidural anesthesia in patients with lower extremity fracture can reduce pain degree,improve sedation effect and reduce adverse reactions.
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