特耐复合肋间神经阻滞对开胸手术术后的临床观察研究  

作　　者：孙大新 邵军进 刘莹 

机构地区：[1]东阳市人民医院麻醉科,322100

出　　处：《当代医学》2010年第31期88-89,共2页Contemporary Medicine

摘　　要：目的探讨特耐(帕瑞昔布钠)复合肋间神经阻滞,对开胸术后疼痛的影响,并探讨是否减少开胸术后并发症的发生。方法 182例行食管贲门手术患者随机分为3组,A组(60例)静脉给予特耐复合肋间神经阻滞,B组(61例)采用肋间神经阻滞,C组(61例)仅静脉给予特耐,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、术后血气指标变化。结果 A组止痛有效率与B组相比具有显著差异(P<0.01);B组止痛有效率与C组相比具有显著差异(P<0.01)。3组之间术后止痛药的使用量具有明显差异,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。结论特耐复合术中肋间神经阻滞能加强术后镇痛效果,减少术后麻醉性镇痛药的使用,并有效改善呼吸抑制状态。Objective To investigate the special-resistant （Parecoxib Sodium） composite intercostal nerve block, intercostal nerve block, special resistance to the effects of postoperative chest pain and reduce postoperative complications. Methods 182 Mallory routine surgery were randomly divided into 3 groups, A group （60 cases） used special-resistant composite intercostal nerve block analgesia, B group （61 cases） used intercostal nerve block group and C group （61 cases） for the special-resistant group,patients in each group were observed with postoperative pain and analgesic use;simultaneous contrast observed in each group before surgery,respiratory function parpmeters change. Results A group of effective pain relief, compared with the B group difference was significant （P〈0.01）; B group effective pain relief, compared with the C group difference was significant （P〈0.01）. Postoperative blood gas analysis results show that, group A could effectively improve the postoperative state of oxygen and carbon dioxide retention. Conclusion Special-resistant composite intraoperative intercostal nerve block can enhance the analgesic effect, reducing the use of postoperative analgesics, and effectively improve the state of respiratory.

关 键 词：特耐 肋间神经 阻滞 开胸术后 

分 类 号：R614[医药卫生—麻醉学]