冷冻肋间神经预防胸部手术后疼痛的临床观察研究  

作　　者：赵子恩 石世青 闻剑波 江明君 黄科峰 葛建军 

机构地区：[1]浙江省宁波市鄞州人民医院胸外科,315040

出　　处：《浙江临床医学》2011年第3期241-243,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨肋间神经冷冻术预防开胸术后疼痛的效果及并发症的发生。方法随机选取行开胸术的患者578例为冷冻组（A组），并随机选取同期行开胸手术的患者137例为对照组（B组）。观察各组患者术后疼痛及止痛药的使用情况，并观察其并发症的发生情况。结果A组止痛有效率与B组相比差异有统计学意义（P〈0．05）；且并发症发生率差异亦有统计学意义（P〈0．05）。结论肋间神经冷冻能有效预防开胸术后剧烈疼痛，减少并发症，值得推广。Objective To investigate the preventing effects and the occured complications of cryoanalgesia to intercostal nerve for treating postthoracotomy pain. Methods Two groups were involved in this study. All objects underwent thoracotomy at the same time. Intraoperative intercostal nerve cryoanalgesia was applied to group A （n = 578）. Group B （n = 137） was control group. We compared the extent of pain and the dosage of anodynes within the two groups we also examined the complications in those groups. Results The extent of pain and the appearance rate of the complications of group A were significantly lower than that group B （ P 〈 0.05 ）. Conclusion The results indicate that intraoperative intercostal nerve cryoanalgcsia might provide a better method to prevent severely postthoracotomy pain and to decrease the postoperative complications.

关 键 词：冷冻止痛 肋间神经 开胸术 

分 类 号：R655[医药卫生—外科学]