不同镇痛方法对老年病人开胸手术后并发症的影响  

The Effect of Different Pain-relieving Methods on Complications Following Thoracotomy in Aged Patient

作　　者：周柏涛[1] 邱树彬[1] 徐小华[1] 林映莲[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《医学临床研究》2005年第7期889-891,共3页Journal of Clinical Research

摘　　要：【目的】评估三种不同的镇痛方法对老年病人开胸手术后并发症的影响。【方法】普胸手术者106例,男79例,女27例;年龄60～81岁。分为三组:硬膜外镇痛组(Ⅰ组,n=36);静脉镇痛组(Ⅱ组,n=33);肌肉注射镇痛组(Ⅲ组,n=37)。观察术后心肺系统主要并发症及不良反应发生情况。【结果】硬膜外镇痛组镇痛效果优于其他两组且差异有显著性,术后心律失常、高血压、心绞痛以及肺不张、肺部感染和低氧血症等并发症的发生率较其他两组减少。【结论】硬膜外持续镇痛效果确切,明显减少了心肺系统并发症,更适合作为老年人胸部外科手术术后的镇痛方法。[Objective]To evaluate the clinical effect of three different analgesic methods on complications following thoracotomy in aged patients.[Methods]One hundred and six patients (male 79, female 27)underwent thoracotomy were randomly assigned to 3 groups.group Ⅰ:epidural analgesia(n=36); group Ⅱ: intravenous analgesia (n=33); group Ⅲ: muscular injection analgesia(n=37). Main complications of cardio-pulmonary system and side effects were compared.[Results]In epidural analgesia group, the scores of analgesic scale was significantly superior to the two other groups, and complications including arrhythmia, hypertension, angina, atelectasis, lung infection, hypoxemia were fewer.[Conclusion]Epidural analgesia lessens the complications of cardio-pulmonary system obviously, it is a good method of easing pain for aged patients after thoracic surgery.

关 键 词：胸廓切开术 手术后并发症 镇痛 

分 类 号：R655[医药卫生—外科学]