肋间精准置管持续镇痛在肺癌根治术后应用的临床研究  

Clinical Study of Continuous Intercostal Catheterization for Continuous Analgesia After Radical Operation of Lung Cancer

作　　者：陈小聪[1] 袁金权[1] 周建平[1] 李伟阳[1] 叶志彬[1] CHEN Xiaocong;YUAN Jinquan;ZHOU Jianping;LI Weiyang;YE Zhibin(Department of Cardiothoracic Surgery,Dongguan People’s Hospital,Dongguan Guangdong 523000,China)

机构地区：[1]广东省东莞市人民医院心胸外科

出　　处：《中国医疗设备》2019年第S01期19-21,共3页China Medical Devices

基　　金：东莞市医疗卫生一般项目（201610515001046）

摘　　要：目的对肋间精准置管持续镇痛在肺癌根治术后应用的临床研究进行分析。方法选取2016年4月10日至2018年5月30日期间收治的40例肺癌根治术患者,随机分为对照组(n=20)与观察组(n=20),对照组施以静脉镇痛,自控式静脉镇痛(舒芬太尼100~150μg+生理盐水100 mL),观察组采用肋间精准置管持续镇痛,辅以盐酸罗哌卡因150 mg+生理盐水100 mL。对比两组患者应用效果。结果观察组术后12、14 h疼痛评分、下床时间均优于对照组,差异有统计学意义(P<0.05)。观察组术后生命体征、并发症发生情况对比,差异无统计学意义(P>0.05)。结论在肺癌根治术后应用肋间精准置管持续镇痛具有临床意义,可以降低患者疼痛,改善预后,值得推广。Objective To analyze the clinical application of intercostal accurate catheterization analgesia after radical resection of lung cancer.Methods From April 10,2016 to May 30,2018,40 patients undergoing radical resection of lung cancer were randomly divided into two groups:control group(n=20)and observation group(n=20).The control group received intravenous analgesia.Self-controlled intravenous analgesia(sufentanil 100~150μg saline 100 mL)was performed in the observation group with continuous analgesia with precise intercostal catheterization plus ropivacaine hydrochloride 150mg saline 100 mL.To compare the effect of two groups of patients.Results The pain score and the time of getting out of bed in the observation group were significantly better than those in the control group at 12 and 14 h after operation(P<0.05).There was no significant difference in postoperative vital signs and complications in the observation group(P>0.05).Conclusion Continuous analgesia with accurate intercostal catheterization after radical resection of lung cancer has clinical significance,can reduce pain and improve prognosis,and is worth popularizing.

关 键 词：肋间精准置管 持续镇痛 肺癌根治术 临床研究 

分 类 号：R734[医药卫生—肿瘤]