肋间神经冷冻术对胸腔镜辅助手术患者C反应蛋白的影响  

The changes of C reaction protein level on patients using intercostal nerves cryoanalgesia as analgesic methods in VATS

作　　者：孔冕[1] 王军业[2] 戴淑琴[3] 李宝江[1] 

机构地区：[1]泰安市中心医院乳腺外科,泰安271000 [2]中山大学附属肿瘤医院胸科 [3]中山大学附属肿瘤医院检验科

出　　处：《中华腔镜外科杂志（电子版）》2013年第2期45-47,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨肋间神经冷冻止痛方法在电视胸腔镜辅助小切口胸科手术后C反应蛋白(CRP)的变化。方法回顾性分析2012年1月至2012年12月期间行胸腔镜下开胸手术并行肋间神经冷冻术镇痛的50例患者病例资料,以同期电视辅助胸腔镜手术并患者静脉自控镇痛的50例患者为对照,观察两组患者在使用不同镇痛方式后C反应蛋白在围手术期内的变化。结果所有患者都安全渡过手术期,两组患者术后C反应蛋白都有大幅升高,行肋间神经冷冻术镇痛的实验组患者手术前后C反应蛋白变化幅度低于对照组,差异有统计学意义(P<0.05)。结论胸腔镜辅助下小切口手术同期行肋间神经冷冻术镇痛,C反应蛋白升高幅度明显小于患者自控静脉镇痛组,炎症反应轻,应激反应小,有利于术后恢复。Objective To discuss the changes of C reaction protein （CRP）after thoracotomy using in video-assistant minithoracotomy and intercostal nerves cryoanalgesia. Methods The clinical information of 50 cases in our departments from 2012-01 to 2012-12 were analyzed retrospectively, 50 of them were undertaken VATS and intercostal nervous cryoanagesia, and 50 of them were undertaken VATS and patient controlled intravenous analgesia as control group. Plasma levels of CRP were detected before operation and on the 1st postoperative day. Results All the patients spent operation period in safety, CRP level in two groups were increased significantly after operation compared with before operation. The difference in two groups was statistically significant （P 〈 0.05）. Conclusions The CRP increased less in the group of patients who used intercostal nerves cryoanalgesia as analgesic methods compared with the group who used patient controlled intravenous analgesia,the intercostal nerves cryoanalgesia can not only ensure the analgesia effect, but also benefit patient＇s recovery and life quality.

关 键 词：肋间神经冷冻术 电视胸腔镜辅助 C反应蛋白 镇痛 

分 类 号：R614[医药卫生—麻醉学]