中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2014年
1期
51-52
,共2页
罗哌卡因%肋间神经阻滞%镇痛
囉哌卡因%肋間神經阻滯%鎮痛
라고잡인%륵간신경조체%진통
Ropivacaine%Intercostal nerve block%Analgesic
目的 观察开胸手术关胸前罗哌卡因肋间神经阻滞的术后镇痛效果.方法 将120例开胸手术患者随机分为两组,每组60例.A组传统肌肉注射哌替啶镇痛,B组关胸前用0.375％罗哌卡因20 mL行肋间神经阻滞,分别记录拔管清醒后不同时间点视觉模拟评分法(VAS)评分,记录术后7d患者肺部并发症发生情况.结果 与A组比较,B组在术后24 h内镇痛效果明显优于A组,术后并发症明显减少.结论 罗哌卡因肋间神经阻滞用于开胸术后镇痛效果好,操作简单,是一种理想的开胸术后镇痛方法.
目的 觀察開胸手術關胸前囉哌卡因肋間神經阻滯的術後鎮痛效果.方法 將120例開胸手術患者隨機分為兩組,每組60例.A組傳統肌肉註射哌替啶鎮痛,B組關胸前用0.375％囉哌卡因20 mL行肋間神經阻滯,分彆記錄拔管清醒後不同時間點視覺模擬評分法(VAS)評分,記錄術後7d患者肺部併髮癥髮生情況.結果 與A組比較,B組在術後24 h內鎮痛效果明顯優于A組,術後併髮癥明顯減少.結論 囉哌卡因肋間神經阻滯用于開胸術後鎮痛效果好,操作簡單,是一種理想的開胸術後鎮痛方法.
목적 관찰개흉수술관흉전라고잡인륵간신경조체적술후진통효과.방법 장120례개흉수술환자수궤분위량조,매조60례.A조전통기육주사고체정진통,B조관흉전용0.375％라고잡인20 mL행륵간신경조체,분별기록발관청성후불동시간점시각모의평분법(VAS)평분,기록술후7d환자폐부병발증발생정황.결과 여A조비교,B조재술후24 h내진통효과명현우우A조,술후병발증명현감소.결론 라고잡인륵간신경조체용우개흉술후진통효과호,조작간단,시일충이상적개흉술후진통방법.
Objective Observe the analgesic effect of intercostals never block using ropivacaine after thoracotomy.Methods Divide the 36 cases who would be performed operation into two groups randomly and there are 18 cases in each group.Every patient got pethidine intramuscular injections to relieve pain in group A and ropivacaine (0.375％ 20 ml) to perform intercostal nerve block instead in group B.Record the VAS mark in different time point after anesthesia recovery and pulmonary complications performance of each group.Results The analgesic effect in group B is much better than group A and which has lower rate of postoperative complications.Conclusion It has a satisfactory analgesic effect to use ropivacaine to perform intercastal never block.And it is simple to use which proved a better analgesic method after thoracotomy.
