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开胸术后不同镇痛方法的疗效比较分析 被引量:11

Comparison of the therapeutic effect of analgesic methods after thoracotomy
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摘要 目的比较开胸术后不同镇痛方法的镇痛效果。方法 90例开胸术患者 ,随机分成术后应用止痛药 (A组 )、硬膜外置管给药 (B组 )及肋间神经冷冻止痛 (C组 ) 3组 ,比较 3组术后镇痛效果、术后并发症及需辅助应用的止痛方法。结果C组的术后镇痛效果明显优于A组和B组 (P <0 .0 5 ) ,而并发症则较B组与A组明显减少 (P <0 .0 5 )。结论肋间神经冷冻止痛是一种可靠的预防开胸术后剧烈胸痛的方法。 Objective To compare the effect of different analgesic Methods After thoracotomy. Methods 90 patients who received thoracotomy were randomly divided into group A (using analgesic), group B (administered through epidural catheter) and group C (freezing intercostal nerves). The effect, postoperative complication and the analgesic methods were compared between the three groups. Results The effect in group C was obviously superior to group A and group B (P<0.05) but the complication was decreased in group B and group C (P<0.05). Conclusion Freezing intercostal nerves is an effective and reliable way to prevent intense chest pain after thoracotomy.
出处 《中国综合临床》 北大核心 2003年第6期540-541,共2页 Clinical Medicine of China
关键词 开胸术后 硬膜外置管给药 肋间神经冷冻 镇痛药 Postthoracotomy Analgesic Administering through epidural catheter Intercostal nerve Freezing
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参考文献2

  • 1赵凤瑞,田燕雏,刘德若,梁朝阳,葛炳生,李福田,郭永庆,石彬,张海涛,王在永,陈京宇,鲍彤.肋间神经冷冻止痛的实验及临床研究[J].中华外科杂志,2001,39(11):852-854. 被引量:82
  • 2Towu EA, Roethe RA, Weissig MD, et ed. One-day admission for lung lobectomy: :an incidental result of a clinical pathway[J]. Ann Thorac Surg,1998,65(3) :803-806.

二级参考文献3

  • 1赵凤瑞(译),普通胸部外科学,1999年,65页
  • 2顾恺时,胸心外科手术学,1985年,62页
  • 3李楚天,冷伤,1980年,282页

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