肋间神经;阻滞;开胸术后_____肋间神经;阻滞;开胸术后

肋间神经阻滞的临床观察研究

http://www.100md.com 《中华现代外科学杂志》 2006年第6期

肋间神经;阻滞;开胸术后,,肋间神经;阻滞;开胸术后,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的探讨肋间神经阻滞对开胸术后胸痛的效果,减少开胸术后并发症。方法 174例行食管贲门手术患者随机分为3组,A组(60例)采用肋间神经阻滞镇痛作为试验组,B组(57例)采用术后静脉自控镇痛组及C组(57例)为对照组,观察各组患者术后疼痛及止痛药的使用情况;同时对比观察各组术前、术后呼吸功能指标的变化。结果 A组止痛有效率与B组相比差异有非常显著性(P<0.01);B组止痛有效率与C组相比差异有非常显著性(P<0.01)。3组之间术后止痛药的使用量差异有显著性，其中A组用量最少,C组最多。术后血气分析结果表明,A组可有效改善术后缺氧及二氧化碳潴留状态。结论术中肋间神经阻滞能增强术后镇痛效果,减少术后镇痛药的使用,并有效改善呼吸抑制状态。

    【关键词】肋间神经;阻滞;开胸术后

    The evaluation on analgetic effect of continuous intercostals nerve block

    HUANG Miaolong,JIANG Yueping,XU Mingqing.Department of Thoracic and Cardiovascular Surgery,Yuebei Peoples Hospital,Shaoguan 512025,China

    【Abstract】 Objective To evaluate the analgetic effect of continuous intercostals nerve block( CINB) in the patients postthoracotomy,reducing the postthoractomy syndrome.Methods 174 cases of esophagocardiac operation were divided into three groups at random.A group(n=60) received CINB,B group (n=57) received patientcontrolled intravenous analgesia( PAIC).C group(n=57) as control received neither CINB nor PAC.Compare the different of the ache degree and the dose of the drugs used and the change of breaths data between three groups.Results The analgesia effect of CINB is the better than that of PAC,that of C group is the worst.There is distinct different between three groups of the dose of drugs used.The amount of drug used of A group is the least,that of C group is the most.The data of blood gas show that CINB can meliorate the anoxemia and the state of carbon dioxide retention.Conclusion Using CINB could improve the analgetic effect,reduce the doses of drugs used,improve the state of respiratory depression. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/07/03/02/39/98.htm

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