肋间神经保护技术在开胸手术中的应用  

Application of protective technique for intercostal nerve in thoracotomy

作　　者：杨洪顶[1] 王军[1] 张承[1] 

机构地区：[1]滨州医学院烟台附属医院心胸外科, 山东省烟台264100

出　　处：《中华全科医师杂志》2013年第3期214-215,共2页Chinese Journal of General Practitioners

摘　　要：回顾分析80例分别采用保护肋间神经和常规开胸手术患者的临床资料。两组术后吗啡镇痛用量分别为（12±5）和（43±11）mg／例，疼痛评分术后24、48和72h分别为（2．7±1．6）与（6．2±1．9）分、（2．5±1．4）与（5．8±1．8）分和（2．3±1．3）与（5．4±1．7）分，疼痛评分及肺炎、肺小张、切口感觉异常等发生情况比较，差异均有统计学意义（均P〈0．01）。提示肋间神经保护技术能减轻患者术后疼痛、减少镇痛药用量，减少术后并发症的发生。To retrospective analyze the clinical profiles of 80 patients undergoing thoracotomy with protection of intereostal nerve versus traditional method. The doses of narcotics of two groups were （ 12 ± 5 ） and （43± 11 ）mg respectively. The postoperative levels of visual analogue score （VAS） and such potential complications as pneumonia, ateleetasis and paraesthesia were examined （ P 〈 0. 01 ）. Protective technique of intercostal nerve during thoracotomy could effectively relieve postoperative chest pain, reduce the dosage of narcotics and lower the occurrence of lung complications.

关 键 词：肋间神经 开胸术 

分 类 号：R655[医药卫生—外科学]