摘要
目的比较开胸术后不同镇痛方法的镇痛效果。方法80例开胸术患者,随机分为三组。Ⅰ组,27例,肌注哌替啶;Ⅱ组,27例,肋间神经压榨术;Ⅲ组,26例,病人自控静脉镇痛(PCIA)。分别于术后6、24和48h记录患者疼痛评分、不良反应及脉搏血氧饱和度(SpO2)、心率(HR)、呼吸频率(RR)、分钟通气量(MV)值。结果Ⅱ、Ⅲ两组的镇痛效果明显优于Ⅰ组(P<0.01)。与麻醉前比较,Ⅰ、Ⅲ组HR、RR增快,MV、SpO2不同程度降低(P<0.05)。结论开胸术后3种镇痛方式中,肌注哌替啶镇痛不能取得完善效果,PCIA和肋间神经压榨镇痛效果满意,但综合镇痛质量肋间神经压榨优于PCIA。
Objective To compare the thoraeotomy. Methods Eighty patients underwent outcomes of different analgesic methods after thoracic surgery were randomly allocated to three groups of pethidine injection （group Ⅰ ,n=27）, intercostal nerve crush （group Ⅱ ,n=27） and patient controlled intervenous analgesia （PCIA） （group Ⅲ, n = 26）. Postoperative analgesic effect was evaluated with visual analogue scale （VAS） at 6,24 and 48 h after operation and SpO2, HR, RR and MV were observed as well. Results The postoperative analgesia was significantly better in group Ⅱ and Ⅲ than that in group Ⅰ（P〈0. 01）. The HR and RR of patiens in group Ⅰ and Ⅲwere increased and SpO2 and MV decreased after operation compared to those before （P〈0.05）. Conclusion Postoperative analgesia with pethidine can not provide perfect analgesia. Both PCIA and intercostal nerve crush have satisfactory effect in thoracotomy analgesia, while the later is superior to the prior.
出处
《江苏医药》
CAS
CSCD
北大核心
2009年第1期56-57,共2页
Jiangsu Medical Journal
关键词
术后镇痛
肋间神经
哌替啶
Postoperative analgesia
Intercostal nerve
Pethidine
