CAJ | 학술논문

回顾分析80例分别采用保护肋间神经和常规开胸手术患者的临床资料.两组术后吗啡镇痛用量分别为(12±5)和(43 ±11)mg/例,疼痛评分术后24、48和72 h分别为(2.7±1.6)与(6.2±1.9)分、(2.5±1.4)与(5.8±1.8)分和(2.3±1.3)与(5.4±1.7)分,疼痛评分及肺炎、肺不张、切口感觉异常等发生情况比较,差异均有统计学意义(均P＜0.01).提示肋间神经保护技术能减轻患者术后疼痛、减少镇痛药用量,减少术后并发症的发生.
회고분석80례분별채용보호륵간신경화상규개흉수술환자적림상자료.량조술후마배진통용량분별위(12±5)화(43 ±11)mg/례,동통평분술후24、48화72 h분별위(2.7±1.6)여(6.2±1.9)분、(2.5±1.4)여(5.8±1.8)분화(2.3±1.3)여(5.4±1.7)분,동통평분급폐염、폐불장、절구감각이상등발생정황비교,차이균유통계학의의(균P＜0.01).제시륵간신경보호기술능감경환자술후동통、감소진통약용량,감소술후병발증적발생.
To retrospective analyze the clinical profiles of 80 patients undergoing thoracotomy with protection of intercostal nerve versus traditional method.The doses of narcotics of two groups were (12 ± 5)and (43 ± 11) mg respectively.The postoperative levels of visual analogue score (VAS) and such potential complications as pneumonia,atelectasis and paraesthesia were examined (P ＜ 0.01).Protective technique of intercostal nerve during thoracotomy could effectively relieve postoperative chest pain,reduce the dosage of narcotics and lower the occurrence of lung complications.