局麻药在开胸手术中超前镇痛作用临床观察

Local anesthetics in thoracotomy advance analgesic action clinical observation

开胸手术患者的疼痛问题已逐渐受到越来越多的关注,尤其是开胸手术后,由于多伴有肋间神经的损伤,以及呼吸运动的影响,其术后镇痛和疼痛如不能很好的解决不仅会增加患者术后躁动的发生率,还会引起咳嗽,寒战等一系列的不良反应,从而增加术后胸腔内出血,本实验研究在全麻的基础上超前镇痛,于手术开始前局部加用浸润麻醉,以求减轻患者术后疼痛,减少术后镇痛药用量及降低不良反应的发生率,提高镇痛质量。

To open-chest surgery patients pain problem has gradually receiving more and more attention,especially open-chest surgery later,as is usually accompanied by rib between nerve damage and breathing movement,the influence of the postoperative analgesia and pain if cannot be good solve not only can increase theincidence of patients who underwent the restless,still can cause cough,shivering andso on a series of adverse reactions,thus increasing postoperative bleeding,thisexperiment chest in the basis of general anesthesia in advance before the start ofoperation,analgesic local infiltrating anesthesia combined with,in order to relievepatients postoperative pain,reduce postoperative analgesics dosage andreducetheincidence of aderse eents,improve the quality of analgesia.