| Background:To compare the effect of traditional local infiltration anesthesia and local infiltration anesthesia combined with vertebral cancellous bone infiltration anesthesia on pain relief during vertebroplasty.Methods:From January 2019 to January 2020,100 patients with osteoporosis vertebral compression fracture line vertebral forming were included in this study and randomly assigned to the local infiltration anesthesia group(Group A)and the local infiltration anesthesia vertebral cancellous bone infiltration anesthesia group(Group B).Patient visual pain score(VAS),mean arterial pressure(MAP),heart rate(HR),and blood oxygen saturation(Sp02)evaluation of pain during surgery using the Likert five-part scale were Observed in preoperative,intraoperative and 2 hours post-operation timeframe.Results:During anesthesia,the heart rates(HR)of patients in group A and group B before,during and 2 hours after surgery,we found that there was no significant difference in preoperative heart rate(HR)between the two groups,the vertebral cancellous bone infiltration anesthesia group were 81.46±8.01 and the local infiltration anesthesia group were 80.51±6.93,P>0.05,which was not statistically significant.During the operation,the heart rate(HR)of group B patients was significantly lower than that of group A patients,the vertebral cancellous bone infiltration anesthesia group were 83.43±6.73 and the local infiltration anesthesia group were,94.03±7.12 and the difference of P<0.01 was extremely statistically significant.The average heart rate two hours after operation in group B was lower than that in group A(82.18±7.71 and 92.13±6.77),P<0.05,the difference was statistically significant.The preoperative,postoperative,and intraoperative blood oxygen saturation(SPO2)of the two groups of patients,there was no significant difference in the average blood oxygen saturation(SPO2)of the two groups of patients before,during and after the operation.The comparison of the two hours before the operation was the vertebral cancellous bone infiltration anesthesia group were 98.56±0.63 and the local infiltration anesthesia group were 98.51±0.91 and after the operation the vertebral cancellous bone infiltration anesthesia group were 96.98±1.10 and the local infiltration anesthesia group were 97.78±1.03,P>0.05,The comparison of the two Groups of patients during the operation group B(97.96±0.67)and group A(97.68±0.88),P>0.01,the difference was not statistically significant.the mean arterial pressure(MAP)before operation,during operation and 2 hours after operation in group A and group B,we found that there was no significant difference in mean arterial pressure(MAP)before operation between the two groups(71.17±7.10 and 70.08±6.98),P>0.05,which was not statistically significant.The mean arterial pressure of group B(78.48±6.67)patients was significantly lower than that of group A(85.26±9.16)patients during the operation,and the difference of P<0.01 was very statistically significant.The mean arterial pressure in group B(76.14±7.73)was lower than that in group A(83.13±8.03)2 hours after operation,P<0.05,the difference was statistically significant.The preoperative,intraoperative and 2-hour VAS scores of the two groups of patients,analysis of the data showed that there was no significant difference in the preoperative VAS scores of the two groups of patients,group B(71.17±7.10)and group A(70.08±6.98),P>0.05,and the difference was not statistically significant.There was a big difference in intraoperative VAS between the two groups,group B(78.48±6.67)and group A(85.26±9.16),P<0.01,which was extremely statistically different.There was no significant difference in VAS scores between the two groups of patients two hours after operation,group B(76.14±7.73)and group A(83.13±8.03),P>0.05,the difference was not statistically significant.Conclusion:Our research results indicate that vertebral cancellous bone infiltration anesthesia can reduce the risk of cardiovascular accidents in patients during and after the operation of PVP,and the intraoperative analgesic effect is better than that of local infiltration anesthesia,which is worthy of clinical promotion. |
