肺叶切除术后肋间神经冷冻止痛与静脉自控镇痛效果比较  

Comparison of the effect of intercostal nerves cryoanalgesia and patient-controlled analgesia on post-lobectomy

作　　者：巴玉峰[1] 李长生[2] 李印[1] 程金华[1] 邢文群[1] 刘宝兴[1] 

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)胸外科,郑州450003 [2]郑州大学附属肿瘤医院(河南省肿瘤医院)麻醉科,郑州450003

出　　处：《中国实用神经疾病杂志》2012年第5期20-22,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的比较肺叶切除术后肋间神经冷冻止痛与静脉自控镇痛的效果,完善开胸术后的镇痛方法。方法将近年我院肺叶切除术患者178例纳入研究,根据术后镇痛方法的不同分为肋间神经冷冻止痛组(A组)和静脉自控镇痛组(B组),将2组患者的镇痛效果和不良反应进行比较。结果术后第1周内及术后1个月A组患者的镇痛效果明显优于B组(P<0.05);随访6个月,2组患者疼痛均消失,差异无统计学意义(P>0.05)。并发症比较显示,B组患者肺炎及肺不张、胃肠道不适、嗜睡的发生率均高于A组(P<0.05)。结论肺叶切除术后肋间神经冷冻止痛效果好、并发症少,与静脉自控镇痛相比具有优势。Objective To compare the effect of postoperative intercostal nerve freezing and patient-controlled analgesia in patients underwent thoracic surgery and improve the analgesia effect of tnoracotomy.Methods One hundred and seventy-eight patients underwent lobectomy were divided into two groups： intercostal nerves cryoanalgesia group（A） and patient-controlled analgesia group（B）,the analgesia effect and adverse effect between two groups were observed.Results Both one week and one month after surgery,the analgesia effect in group A was more obvious than that in group B（P0.05）.Six months after surgery,the pain disappeared in both groups（no difference was observed）.In group B,the rate of pneumonia,lung atelectasis,gastrointestinal tact complaints and drowsiness were higher in group B than that in group A（P0.05）.Conclusion For better analgesia effect and less complications,intercostal nerves cryoanalgesia is a better method than patient-controlled analgesia.

关 键 词：肺叶切除术 肋间神经冷冻止痛 静脉自控镇痛 

分 类 号：R619.9[医药卫生—外科学]