肋间神经切断在剖胸术后胸痛中的应用观察  

Application of intercostal nerve in thoracic pain after thoracic surgery

作　　者：石梦[1] SHI Meng(Xiaogan City Center Hospital, Xiaogan, Hubei 432100, China)

机构地区：[1]孝感市中心医院心胸外科,湖北孝感432100

出　　处：《医药论坛杂志》2018年第3期67-68,71,共3页Journal of Medical Forum

摘　　要：目的探讨肋间神经切断在剖胸术后胸痛中的应用效果。方法选取孝感市中心医院在2013年1月—2014年12月收治的行剖胸术患者50例,随机分成观察组与对照组各25例,观察组在行剖胸术后给予肋间神经切断术,对照组行单一剖胸术,分别对比两组患者的一般情况,术后第3 d、7 d、术后第15 d的VAS评分以及疼痛程度。结果观察组疼痛时间为(13.5±4.7)d,明显低于对照组的(28.4±6.9)d;观察组患者并发症发生率为8%,与对照组的8%对比差异无统计学意义(P>0.05);观察组术后第3 d、7 d、15 d VAS评分及疼痛程度明显低于对照组,差异具有统计学意义(P<0.05)。结论肋间神经切断能够有效减轻患者行剖胸术后胸痛,值得临床推广及应用。Objective To investigate the effect of intercostal nerve in thoracic pain after thoracic surgery. Methods Selection of Xiaogan Central Hospital from January 2013 to December 2014 line profile control in 50 patients with thoracic surgery, randomly divided into observation group and the control group （n=25 ） , the observation group in cutting neurotomy between thoracic rib postoperatively, the control line of single cutting thoracic surgery, respectively, compared two groups of patients with general condition, 3 d, 7 d after operatior~, postoperative pain VAS score of 15 d and degree. Results The pain time of the observation group was （ 13.5 ± 4. 7 ） d, significantly lower than that in the control group （28.4± 6. 9） d; The incidence of complications was 8% in the observation group, and the difference was not statistically significant （P 〉0. 05）. The score of 3d, 7d, 15dVAS and the degree of pain were significantly lower in the observation group than in the control group. The difference was statistically significant （P 〈 0. 05）. Conclusion Intercostal nerve cut- ting can effectively reduce the postoperative chest pain of patients, and it is worthy of clinical promotion and application.

关 键 词：肋间神经切断术 剖胸术 并发症 

分 类 号：R323.2[医药卫生—人体解剖和组织胚胎学]