持续肋间神经、胸膜阻滞镇痛的临床观察  

A clinic observation of continuous block analgesia (CBA) in intercostal nerve and pleura

作　　者：吴才[1] 廖历兴[1] 黄河清[1] 吴小冰[1] 王翠琴[1] 张政[1] 

机构地区：[1]广东省农垦中心医院,湛江524002

出　　处：《中国航天工业医药》2001年第4期42-44,共3页

摘　　要：目的探讨持续肋间神经、胸膜阻滞镇痛(简称“持续阻滞镇痛”)的临床效果与实用价值。方法采用硬膜外导管直视下置于相应开胸切口的肋间神经旁及连同胸管一道置于胸腔 ,用0.25 %布比卡因持续阻滞肋间神经与胸膜而达到镇痛效果 ,并与患者自控静脉镇痛(PCIA)进行对比。结果持续阻滞镇痛的结果与PCIA结果无显著差异 ,无不良反应 ,无并发症。结论持续阻滞镇痛方法简便、经济、安全、实用、效果好 ,为临床提供了一种新的胸外科术后镇痛方法。Objective To probe into a clinic effect and a practical value of continuous block analgesia (CBA) in intercostal nerve and pleura. Methods To put a ectradural duct in durect vision in the side of incision of intercostal nerve and to put a duct in thoracic together, 0.25% Bupivacaine was used to block analgesia intercostal nerve and pleura continuously, compared CBA with PCIA (patient controlled intravenous analgesia). Results The effect of CBA has no difference obviously with PCIA, which has no side effect, no complication. Conclusions CBA provides a new analgesia method of postoperation in thoracic surgery, it is convenient, economical, safe and practical.

关 键 词：持续肋间神经阻滞 持续胸膜阻滞 胸外科手术 镇痛 

分 类 号：R614[医药卫生—麻醉学]