Jones N C, Pugh S C
Department of Anaesthesia, Brook General Hospital, Woolwich, London.
Anaesthesia. 1996 May;51(5):446-8. doi: 10.1111/j.1365-2044.1996.tb07789.x.
The analgesic effects of tenoxicam 20 mg added to prilocaine in a standard Bier's block (group 2) was studied in 45 patients who had their Colles' fractures reduced under intravenous regional anaesthesia, and compared both to a control group (group 1), and to a group who received a standard Bier's block combined with the same dose of tenoxicam given intravenously into the contralateral arm (group 3). Patients in group 2 obtained significantly better analgesia than group 1, as judged by a longer time before first additional analgesia was required (p < 0.05), less total analgesic consumption (p < 0.01), and lower pain scores (p < 0.01). These benefits were not obtained by patients in group 3.
在45例因科雷氏骨折而在静脉区域麻醉下进行复位的患者中，研究了在标准的比尔氏阻滞（第2组）中添加20毫克替诺昔康于丙胺卡因的镇痛效果，并将其与对照组（第1组）以及接受标准比尔氏阻滞并在对侧手臂静脉注射相同剂量替诺昔康的组（第3组）进行比较。根据首次需要追加镇痛前的时间更长（p < 0.05）、总镇痛药物消耗量更少（p < 0.01）以及疼痛评分更低（p < 0.01）判断，第2组患者获得的镇痛效果明显优于第1组。第3组患者未获得这些益处。
