摘要
目的:评价肋间神经切断术在剖胸术后止痛中的作用。方法:44例剖胸手术病人被分为三组,A组为对照组、B组为肋间神经切断组、C组为肋间神经切断加皮下自控镇痛泵组。对术后14d内不同时段疼痛程度进行定量评估(VAS法),并对两组病人术后因镇痛所致并发症进行比较。结果:B、C组病人术后自觉疼痛减轻,B组术后平均疼痛评分(4.32±1.30)、C组(1.86±1.31)较A组明显降低(P<0.05、P<0.01)。结论:肋间神经切断结合皮下自控镇痛泵用于剖胸术后围手术期镇痛简单、安全、有效,改善病人术后生活质量。
Objective： To evaluate the clinical efficacy of intercostal neurectomy in controlling post - thoracotomy pain. Methods： Forty four patients underwent unilateral thoracotomy were divided into three groups,contrast group （ n = 10 ） , intercostal neurectomy group （ n = 10 ） , intercostal neurectomy and PCSA group （ n =24）. Postoperative pain was assessed for 6 hours to 14 days according to Visual Analogue Scale （ VAS ）. Results： Subjective pain was reduced in three groups , with the B group showing a lower pain score （4.32 ± 1.30, P 〈 0.05 ） than A and the C group was the lowest （ 1.86±1.31, P 〈 0.01 ） , with less analge- siarelated postoperative complications. Conclusion： Intercostal neureetomy and PCSA may provide a safe and effective analgesia for post - thoracotomy pain. This method can improve postoperative quality of life.
出处
《河北医学》
CAS
2008年第11期1332-1335,共4页
Hebei Medicine
关键词
肋间神经切断
镇痛
剖胸手术
Intercostal neurectomy
Analgesia
Thoracotomy
