期刊文献+

超声引导胸椎旁神经阻滞对于肋骨骨折患者术后镇痛效果的影响分析 被引量:9

Analysis of the Effect of Ultrasound-guided Thoracic Paravertebral Block on Postoperative Analgesia in Patients with Rib Fracture
下载PDF
导出
摘要 目的:探索超声引导胸椎旁神经阻滞(TPVB)对于肋骨骨折患者术后镇痛效果的影响。方法:选取2014年6月-2016年6月笔者所在医院收治的100例肋骨骨折手术患者,将其随机化分组,每组50例,对照组和观察组分别采用全麻手术和超声引导胸椎旁神经阻滞手术。结果:观察组患者肺功能、药物剂量、不良反应发生率、心率、血氧饱和度、收缩压、舒张压、各时间段的疼痛评分均优于对照组患者,差异均有统计学意义(P<0.05)。结论:超声引导胸椎旁神经阻滞在肋骨骨折患者中效果显著,可减轻患者术后疼痛感。 Objective:To explore the ultrasound guided thoracic paravertebral block(TPVB)influence on the analgesic effect of patients with rib fracture.Method:100cases of rib fractures treated in our hospital from June2014to June2016were divided into two groups with randomization,50cases in eachgroup.The observation group and the control group were respectively treated with ultrasound-guided thoracic paravertebral block and general anesthesiasurgery.Result:The pulmonary function,drug dosage,incidence of adverse reactions,oxygen saturation,heart rate,systolic blood pressure,diastolic bloodpressure,each time of the pain score in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Ultrasound-guided paravertebral nerve block in rib fracture of patients has significant effect,it can alleviate pain of patients after operation.
作者 卢浩杰 LU Hao-jie(The People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)
出处 《中外医学研究》 2017年第28期14-15,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 超声引导 胸椎旁神经阻滞 肋骨骨折 镇痛效果 Ultrasound guided Thoracic paravertebral block Rib fracture Analgesic effect
  • 相关文献

参考文献9

二级参考文献67

  • 1金荒漠,郭向阳.超声引导下周围神经阻滞技术新进展[J].中国继续医学教育,2011,3(10):51-58. 被引量:7
  • 2李挺,许爱军,徐旭仲.超声引导技术与神经阻滞[J].国外医学(麻醉学与复苏分册),2004,25(6):372-374. 被引量:24
  • 3谢骏,栗兰凯,魏小东,昌其,康建宏.应用镍钛合金环抱器治疗多发性肋骨骨折67例[J].创伤外科杂志,2006,8(3):265-265. 被引量:79
  • 4张群,刘永,王晓虹,等.术中肋间神经封闭加肋骨下缘骨膜下缝合肋骨在开胸手术的应用[J].中国医师进修杂志,2008,31(21):100. 被引量:1
  • 5张风华,李和.肋间神经阻滞在肋骨骨折治疗中应用体会[J].中国临床医生,2000,28(3):30. 被引量:1
  • 6La{{erty PM, Anavian J, Will RE, et al. Operative treatment o{ chest wall injuries: indications, technique, and outcomes[J]. J Bone Joint Surg Am,2011,93(1) :97-110. 被引量:1
  • 7Nirula R, Mayberry JC. Rib fracture fixation., controversies and technical challenges[J]. Am Surg, 2010,76 (8) : 793-802. 被引量:1
  • 8Huskisson EC. Measurement of pain[J]. Lancet, 1974,2: 1127-1131. 被引量:1
  • 9Guay J. The benefits of adding epidural anakgesia to gen- eral anesthesia : A metaanalysis[J]. J Anesth, 2006,20 (4) : 335-340. 被引量:1
  • 10Davies RG, Myles PS, Graham JM. A comparison of the analgesic efficacy and side-effects of paravertebral vs. epidural blockade for thoracotomy-A systematic review and meta-analysis of randomized trials[J]. Br J Anaesth, 2006,96(4) :418-426. 被引量:1

共引文献109

同被引文献80

引证文献9

二级引证文献38

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部