肋间神经阻滞对开胸术后镇痛效果的观察

Observation on the analgesic effect of intercostal nerve block after thoracotomy

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.

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.