The clinical analysis of patient controlled epidural analgesia for symptomatic lumbar disc herniation / 重庆医科大学学报

ABSTRACT

Objective:To evaluate the curative effects of patient controlled epidural analgesia(PCEA)for symptomatic lumbar disc herniation.Methods:Lumbar disc herniation cases(n=98)were divided into two groups.The epidural drugs injection group(DEDI group,n=54)underwent the epidural drugs injection 4 times as one treatment course.The patient controlled epidural analgesia group(PCEA group,n=44)underwent the same treatment,but the first epidural drugs injection was followed by PCEA for 7 days.Evaluate the curative effects and the side effects.Results:VAS scores in both groups decreased significantly on the eighth day and at the end of the treatment,being 4.41?0.62 and 1.30?0.77 in the PCEA group and 5.09?0.88 and 1.65?0.97 in the DEDI group(P0.05).No significant side effect was found during the treatment.Conclusion:PCEA is an effective method of lumbar disc herniation,and it relieves the symptoms and signs more quickly in the early treatment compared with the DEDI.