\n
\n港大醫學院在2018至2022年期間,對178位做換骹手術的病人,進行隨機臨床試驗,結果發現採用雙類固醇療法的病人,即手術前先以靜脈注射類固醇,手術期間再在傷口附近注射局部麻醉藥,整體的鎮痛效果及康復速度比以往二擇其一更好,接近6至7成病人可以直接出院,毋須接受進一步的復康治療,有助加速病床流轉,縮短患者輪候做手術的時間。
手術前靠拐杖攙扶 術後5天已活動自如
\n\n72歲的郭先生,於今年3月證實患上左膝退化性關節炎,一度疼痛得要借助拐杖行路,上月25日以雙類固醇療法接受換骹手術,約2小時後已經能用助行架自行上洗手間,第5日已經健步如飛。他認為手術效果相當成功,至今都沒有太大的痛感,只是有少許肌肉酸軟的感覺。
\n\n港大醫學院麻醉學系名譽臨床副教授陳智榮指,以往用傳統的鎮痛方法,病人在手術後的活動度都未如理想,包括膝頭未能自如地伸直及屈曲,有些病人甚至要長期臥床和插尿喉,部分患者或會因而諱疾忌醫,他指新療法結合了兩種療法的精髓,分別有效減少全身及傷口附近出現的炎症,令成效相得益彰,同時能減低病人於手術後服用嗎啡等止痛藥的份量。
\n\n陳智榮指出,糖尿病患者接受雙類固醇療法後,初期的血糖水平會短暫上升,但屬可接受的程度,容易受控,他強調新療法整體的好處比壞處多,基本上每位病人都可以使用。
\n\n雙類固醇療法近年已經在港島西聯網醫院,包括瑪麗醫院、港怡醫院及大口環根德公爵夫人兒童醫院廣泛應用,至今已有約2000人受惠。團隊指未來會進一步推廣至其他醫院。
\n\n記者:盧紫菁
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