摘要
目的:观察羟考酮静脉自控镇痛(PCIA)联合肋间神经阻滞用于胸腔镜术后镇痛的临床效果。方法:将60例择期胸腔镜手术患者随机分为A组和B组,每组30例。A组术后予羟考酮PCIA,B组予羟考酮PCIA+肋间神经阻滞。比较两组镇痛效果。结果:B组术后4、12 h平静时VAS评分均明显低于A组,差异有统计学意义(P<0.05)。B组术后4、12、24 h的PHPS评分均明显低于A组,差异有统计学意义(P<0.05)。B组PCIA泵按压次数与曲马多追加例数均明显少于A组,差异有统计学意义(P<0.05)。A组恶心、呕吐、嗜睡发生率高于B组,但两组比较差异无统计学意义(P>0.05)。B组镇痛质量主观评分明显高于A组,差异有统计学意义(P<0.05)。结论:胸腔镜术后采用羟考酮PCIA+肋间神经阻滞可提高镇痛效果,患者镇痛满意度更高。
Objective:To observe the clinical effect of Oxycodone patient-controlled intravenous analgesia(PCIA)combined with intercostal nerve block for postoperative analgesia after thoracoscopic surgery.Method:A total of 60 patients undergoing elective thoracoscopic surgery were randomly divided into group A and Group B,with 30 patients in each group.Group A received Oxycodone PCIA after surgery,and group B received Oxycodone PCIA combined with intercostal nerve block.The analgesic effects of the two groups were compared.Result:The VAS scores of group B were significantly lower than those of group A at 4 and 12 h after surgery,the differences were statistically significant(P<0.05).The PHPS scores of group B were significantly lower than those of group A at 4,12 and 24 h after surgery,the differences were statistically significant(P<0.05).The number of PCIA pump compressions and Tramadol addition cases in group B were significantly lower than those in group A,and the differences were statistically significant(P<0.05).The incidence of nausea,vomiting and drowsiness in group A were higher than those in group B,but there were no significant differences between the two groups(P>0.05).The subjective score of analgesia quality in group B was significantly higher than that in group A,and the difference was statistically significant(P<0.05).Conclusion:Oxycodone PCIA combined with intercostal nerve block after thoracoscopic surgery can improve the analgesic effect,and patients have higher satisfaction with analgesia.
作者
徐凯
梁宵
朱敏敏
XU Kai;LIANG Xiao;ZHU Minmin(The Second Hospital of Wuxi City,Wuxi 214002,China;不详)
出处
《中外医学研究》
2020年第21期56-58,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
羟考酮
自控镇痛
肋间神经阻滞
胸腔镜术
Oxycodone
Patient-controlled intravenous analgesia
Intercostal nerve block
Thoracoscopic surgery
