CAJ | 학술논문

目的比较肋间神经冷冻和硬膜外自控镇痛在胸外科术后镇痛中的临床效果.方法将2006年4月至2008年5月开胸手术治疗的89例患者按照随机数字表法随机分为肋间神经冷冻组(A组,47例)和硬膜外自控镇痛组(B组,42例).比较两种方法在术后疼痛程度评分、术后止痛药物应用次数、术后下床活动时间上的差异.结果 A组患者术后疼痛程度评分为(1.49±0.80)分,B组为(2.43±1.21)分,两组比较差异有统计学意义(P<0.05). A组和B组术后止痛药物应用次数[(1.28±0.62)、(2.02±1.05)次]、术后下床活动时间[(43.15±12.22)、(64.10±14.25)h]比较差异均有统计学意义(P<0.05).结论肋间神经冷冻在治疗效果上优于硬膜外自控镇痛,肋间神经冷冻在胸外科术后镇痛中可以提供满意的镇痛效果.
목적 비교륵간신경냉동화경막외자공진통재흉외과술후진통중적림상효과.방법 장2006년4월지2008년5월개흉수술치료적89례환자안조수궤수자표법수궤분위륵간신경냉동조(A조,47례)화경막외자공진통조(B조,42례).비교량충방법재술후동통정도평분、술후지통약물응용차수、술후하상활동시간상적차이.결과 A조환자술후동통정도평분위(1.49±0.80)분,B조위(2.43±1.21)분,량조비교차이유통계학의의(P<0.05). A조화B조술후지통약물응용차수[(1.28±0.62)、(2.02±1.05)차]、술후하상활동시간[(43.15±12.22)、(64.10±14.25)h]비교차이균유통계학의의(P<0.05).결론 륵간신경냉동재치료효과상우우경막외자공진통,륵간신경냉동재흉외과술후진통중가이제공만의적진통효과.
Objective To compare the effect of postoperative intercostal nerves cryoanalgesia and patient controlled epidural analgesia (PCEA) in patients undergoing thoracic surgery. Methods From April 2006 to May 2008,89 patients undergoing thoracic surgery were randomly divided into intercostal nerves cryoanalgesia group (group A,47 cases) and PCEA group (group B,42 cases). The scores of pain, use of pain medication and time of out-of-bed activity after the operation were used to evaluate the effect of pain between two groups. Results The scores of pain in group A and group B were (1.49 ± 0.80) and (2.43 ± 1.21) scores respectively. There were significant differences in the scores of pain. The use of pain medication [(1.28 ± 0.62) times vs (2.02 ± 1.05) times]and time of out-of-bed activity after the operation [(43.15 ± 12.22) h vs (64.10 ± 14.25) hi were significant difference between the two groups(P< 0.05). Conclusions For reducing the post- thoracotomy pain,intercostal nerves cryoanalgesia is superior to PCEA. Intercostal nerves cryoanalgesia can provide satisfactory analgesia after thoracic surgery.