改良式罗哌卡因肋间神经阻滞在胸腔镜肺癌手术中的应用  

Application of Modified Ropivacaine Intercostal Nerve Block in Thoracoscopic Lung Cancer Surgery

作　　者：陈前顺[1] 黄郴[1] 林兴[1] 徐驯宇[1] CHEN Qianshun;HUANG Chen;LIN Xing;XU Xunyu(Department of Thoracic Surgery,Fujian Provincial Hospital,Fuzhou Fujian 350001,China)

机构地区：[1]福建省立医院胸外科,福建福州350001

出　　处：《中国卫生标准管理》2020年第23期121-124,共4页China Health Standard Management

摘　　要：目的分析探讨对胸腔镜手术治疗的肺癌患者实施改良式罗哌卡因肋间神经阻滞的应用效果。方法选取2018年6月—2019年12月在本院进行胸腔镜手术的160例肺癌患者作为本次研究对象,采用随机数字表法将其分为两组,每组80例。对照组实施传统式胸腔内阻滞,研究组实施改良式罗哌卡因肋间神经阻滞。对两组患者手术后的疼痛评分及并发症发生率等指标进行对比分析。结果两组患者手术后,两组患者的活动疼痛评分、静息时疼痛评分比较,差异均无统计学意义(P> 0.05)。对照组患者的并发症的发生率高于研究组,比较差异有统计学意义(P <0.05)。结论改良式罗哌卡因肋间神经阻滞与传统式胸腔内阻滞对胸腔镜手术治疗的肺癌患者镇痛效果均较好,但采用改良式罗哌卡因肋间神经阻滞的并发症发生率更低。Objective To analyze the application effect of modified ropivacaine intercostal nerve block in patients with lung cancer undergoing thoracoscopic surgery.Methods 160 lung cancer patients who underwent thoracoscopic surgery in our hospital from June 2018 to December 2019 were selected as the subjects of this study,and they were divided into two groups by random number table method,with 80 cases in each group.The control group received traditional intrathoracic block,and the study group received modified ropivacaine intercostal nerve block.The postoperative pain score and complication rate of the two groups were compared and analyzed.Results There was no significant difference in pain score and resting pain score during activity between the two groups after operation(P>0.05).The incidence of complications in the control group was higher than that in the study group,and the difference was statistically significant(P<0.05).Conclusion Modified ropivacaine intercostal nerve block and traditional intrathoracic nerve block have better analgesic effect on lung cancer patients treated by thoracoscopic surgery,but the complications of modified ropivacaine intercostal nerve block is lower.

关 键 词：改良式罗哌卡因肋间神经阻滞 胸腔镜手术 肺癌 传统式胸腔内阻滞 疼痛评分 应用研究 

分 类 号：R614[医药卫生—麻醉学]