摘要
目的探讨肋间置管持续肋间神经阻滞在胸外科手术后的应用效果。方法选取我院2016年7月至2018年2月收治的80例胸外科手术患者,随机分为观察组和对照组各40例。对照组采用肌肉注射盐酸曲马多或盐酸哌替啶进行镇痛,观察组予以肋间置管持续肋间神经阻滞进行镇痛。比较两组患者的镇痛效果和并发症情况。结果观察组的PH评分、 RR、 HR、 MAP均明显低于对照组(P <0.05), SaO_2水平明显高于对照组(P <0.05)。观察组的并发症发生率为5.0%,明显低于对照组的20.0%(P<0.05)。结论肋间置管持续肋间神经阻滞能够显著降低胸外科手术患者术后疼痛程度,提高术后镇痛效果,具有更低的术后并发症风险,值得推广应用。
Objective To study the application effect of continuous intercostal nerve block with intercostal tube after thoracic surgery.Methods 80 cases of patients undergoing thoracic surgery in our hospital from July 2016 to February 2018 were selected and randomly divided into observation group and control group,with 40 cases in each group.The control group received intramuscular injection of tramadol hydrochloride or pethidine hydrochloride for analgesia,while the observation group received continuous intercostal nerve block with intercostal tube for analgesia.The analgesia effect and complications were compared between the two groups.Results The PH score,RR,HR and MAP of the observation group were significantly lower than those of the control group(P<0.05),and the SaO2 level was significantly higher than that of the control group(P<0.05).The incidence of complications of the observation group was 5.0%,significantly lower than 20.0%of the control group(P<0.05).Conclusions Continuous intercostal nerve block with intercostal tube after thoracic surgery can significantly reduce postoperative pain and improve postoperative analgesia effect,with lower risk of postoperative complications,which is worthy of promotion and application.
作者
袁金权
陈小聪
周建平
YUAN Jinquan;CHEN Xiaocong;ZHOU Jianping(Department of Cardio-Thoracic Surgery,Dongguan People Hospital,Dongguan 523000,Chian)
出处
《临床医学工程》
2018年第11期1459-1460,共2页
Clinical Medicine & Engineering
基金
东莞市医疗卫生一般项目(项目编号:201610515001046)
关键词
肋间置管
持续肋间神经阻滞
胸外科手术
Intercostal tube
Continuous intercostal nerve block
Thoracic surgery
