肋骨打孔关胸法对剖胸术后疼痛的影响  

Effect of rib cage on postoperative pain in patients with thoracic surgery

作　　者：刘鹏[1] 张志斌[1] 魏学强[1] 郝登荣[1] 丁晓权[1] 

机构地区：[1]陕西省榆林市第一医院胸心外科,陕西榆林719000

出　　处：《解放军医学院学报》2015年第12期1186-1187,1191,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目的观察肋骨打孔关胸法与常规跨肋骨关胸法在剖胸术后对疼痛的影响。方法选择2013年4月-2015年4月于陕西省榆林市第一医院胸心外科行剖胸手术患者66例,随机分为治疗组(n=33)和对照组(n=33);治疗组采用肋骨打孔关胸法,对照组采用常规跨肋骨关胸法,比较两种不同关胸术式对术后患者疼痛及术后并发症的影响。结果两组患者年龄、性别、手术类型差异无统计学意义。术后疼痛应用视觉模拟量表评分(visual analogous scale,VAS)评估,肋骨打孔关胸法组术后疼痛程度明显优于常规跨肋骨关胸法组(4.5±1.2 vs 5.7±1.8,P<0.05),术后肺部并发症发生率低于常规关胸组(9.09%vs 27.2%,P<0.05)。结论肋骨打孔关胸法能明显降低剖胸术后疼痛程度,减少肺部并发症发生率。Objective To observe the effect of rib cage method and conventional cross rib cage method on postoperative pain in patients with thoracic surgery. Methods Sixty-six patients with thoracic surgery in The First Hospital of Yulin from April 2013 to April 2015 were chosen and they were randomly divided into treatment group（n = 33） and control group（n = 33）. Patients in treatment group were treated by ribs perforated closed chest method, while patients in control group were treated by conventional cross ribs close chest method. The effects of two different kinds of thoracic surgery on postoperative pain and postoperative complications in patients were analyzed and compared. Results There were no significant differences in age, sex and different types of operation. Postoperative pain was evaluated by visual analogous scale（VAS）, the effect of postoperative pain in treatment group was obviously superior to control group [（4.5±1.2） vs（5.7±1.8）, P〈0.05], and the postoperative pulmonary complications occurred rate in treatment group was lower than that of control group（9.09% vs 27.2%, P〈0.05）. Conclusion The rib cage method can significantly reduce postoperative pain and the incidence of pulmonary complications.

关 键 词：肋骨打孔关胸法 疼痛 手术后 胸外科手术 

分 类 号：R655.3[医药卫生—外科学]