超声引导胸椎旁神经阻滞对于肋骨骨折患者术后镇痛效果的影响分析  

Analysis of the Effect of Ultrasound-guided Thoracic Paravertebral Block on Postoperative Analgesia in Patients with Rib Fracture

作　　者：卢浩杰[1] LU Hao-jie(The People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)

机构地区：[1]福建中医药大学附属人民医院,福建福州350004

出　　处：《中外医学研究》2017年第28期14-15,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探索超声引导胸椎旁神经阻滞(TPVB)对于肋骨骨折患者术后镇痛效果的影响。方法:选取2014年6月-2016年6月笔者所在医院收治的100例肋骨骨折手术患者,将其随机化分组,每组50例,对照组和观察组分别采用全麻手术和超声引导胸椎旁神经阻滞手术。结果:观察组患者肺功能、药物剂量、不良反应发生率、心率、血氧饱和度、收缩压、舒张压、各时间段的疼痛评分均优于对照组患者,差异均有统计学意义(P<0.05)。结论:超声引导胸椎旁神经阻滞在肋骨骨折患者中效果显著,可减轻患者术后疼痛感。Objective:To explore the ultrasound guided thoracic paravertebral block(TPVB)influence on the analgesic effect of patients with rib fracture.Method:100cases of rib fractures treated in our hospital from June2014to June2016were divided into two groups with randomization,50cases in eachgroup.The observation group and the control group were respectively treated with ultrasound-guided thoracic paravertebral block and general anesthesiasurgery.Result:The pulmonary function,drug dosage,incidence of adverse reactions,oxygen saturation,heart rate,systolic blood pressure,diastolic bloodpressure,each time of the pain score in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Ultrasound-guided paravertebral nerve block in rib fracture of patients has significant effect,it can alleviate pain of patients after operation.

关 键 词：超声引导 胸椎旁神经阻滞 肋骨骨折 镇痛效果 

分 类 号：R614[医药卫生—麻醉学]