剖胸术改良关胸方法的远期疼痛效果观察

Long Term Observation of Post-thoracotomy Pain in Closing Thoracic Incision with Modified Method

目的观察改良与传统关闭胸腔方法在剖胸手术后对手术侧胸部及上腹部疼痛的影响。方法将我科于2004年5月—2006年7月剖胸手术病例69例随机分为两组,一组应用改良方法关闭胸腔,另一组应用常规关闭胸腔的方法,术后疼痛采用视觉模拟评分(VAS)方法,术后随访3个月至半年。结果改良方法关闭胸腔较常规关闭胸腔方法明显减轻手术侧胸部及上腹部疼痛感,有利于患者恢复。结论用该方法关闭胸腔术后远期效果好,改善了患者术后生活质量,在临床上有应用价值。

Objective To observe the influence of Post -thoracotomy Pain in the operation side including the chest and midsection while closing thoracic incision with modified and traditional method. Methods Take the thoracotomy cases from May 04 to July 06 for example, and divide the cases into two groups, one of the groups are operated with modified method in closing thoracic incision, the other one are operated with traditional method in closing thoracic incision, post -thoracotomy pain is evaluated with the method of VAS. Follow up the patients in three months to six months after operation. Results Compared with the traditional method, the modified method in closing thoracic incision obviously alleviates the pain in the operation side including the chest and midsection, at the same time, it is propitious to make the patients recover. Conclusion The long term effect with modified method in closing thoracic incision is very good, this operation method improves quality of life of post - thoracotomy patients, it is valuable in clinical application.