实用疼痛学杂志
實用疼痛學雜誌
실용동통학잡지
PAIN CLINIC JOURNAL
2015年
1期
46-48
,共3页
田文华%高嵩%杨帆%魏常%汤世玉%罗锋%崔颖%王磊
田文華%高嵩%楊帆%魏常%湯世玉%囉鋒%崔穎%王磊
전문화%고숭%양범%위상%탕세옥%라봉%최영%왕뢰
右美托咪定%胸椎%神经传导阻滞%镇痛%胸外科手术
右美託咪定%胸椎%神經傳導阻滯%鎮痛%胸外科手術
우미탁미정%흉추%신경전도조체%진통%흉외과수술
Dexmedetomidine%Thoracic vertebra%Nerve block%Analgesia%Thoracic surgical procedures
目的 观察右美托咪定对开胸手术后连续胸椎旁神经阻滞术后镇痛效果的影响.方法 选择开胸手术60例,随机分成A组和B组,每组30例.A组为右美托咪定联合连续胸椎旁神经阻滞组,B组为单纯罗哌卡因胸椎旁神经阻滞.观察两组术后镇痛效果.结果 术后各时点A组镇痛效果优于B组,且不良反应少,差异均有统计学意义(P<0.05).结论 右美托咪定可增强开胸手术连续椎旁神经阻滞的术后镇痛效果,减少不良反应.
目的 觀察右美託咪定對開胸手術後連續胸椎徬神經阻滯術後鎮痛效果的影響.方法 選擇開胸手術60例,隨機分成A組和B組,每組30例.A組為右美託咪定聯閤連續胸椎徬神經阻滯組,B組為單純囉哌卡因胸椎徬神經阻滯.觀察兩組術後鎮痛效果.結果 術後各時點A組鎮痛效果優于B組,且不良反應少,差異均有統計學意義(P<0.05).結論 右美託咪定可增彊開胸手術連續椎徬神經阻滯的術後鎮痛效果,減少不良反應.
목적 관찰우미탁미정대개흉수술후련속흉추방신경조체술후진통효과적영향.방법 선택개흉수술60례,수궤분성A조화B조,매조30례.A조위우미탁미정연합련속흉추방신경조체조,B조위단순라고잡인흉추방신경조체.관찰량조술후진통효과.결과 술후각시점A조진통효과우우B조,차불량반응소,차이균유통계학의의(P<0.05).결론 우미탁미정가증강개흉수술련속추방신경조체적술후진통효과,감소불량반응.
Objective To observe the effects of dexmedetomidine on continuous thoracic paravertebral nerve block for analgesia after thoracic operation.Methods Sixty patients undergoing thoracic operation were randomly divided into group A and group B,30 patients in each group.Patients were received dexmedetomidine combined with continuous thoracic paravertebral nerve block with ropivacaine in the group A,while patients only received thoracic paravertebral nerve block with ropivacaine in the group B.The analgesic effects of the two groups were observed.Results The analgesia effects were significantly better and side effects were lower in group A than those in group B (P < 0.05).Conclusion Dexmedetomidine can enhance postoperative analgesic effects of paravertebral nerve block with ropivacaine after thoracic surgery,with fewer side effects.