摘要
目的评价机器人辅助下胸腔镜手术(RATS)与传统胸腔镜手术(VATS)术后患者的疼痛程度及镇痛药物的使用情况。方法回顾性分析2014年10月至2015年8月同期行RATS肺癌手术和VATS肺癌手术患者的临床资料,其中116例行RATS,为RATS组,男51例、女65例,年龄18~80(52.59±11.49)岁;223例行VATS,为VATS组,男93例、女130例,年龄18~84(58.00±10.56)岁。记录术后VAS评分表、辅助用药情况。结果 RATS组和VATS组VAS评分差异有统计学意义[(3.01±0.18)分vs.(5.19±0.14)分,P<0.05]。两组用药评分差异也有统计学意义(1.09±0.12 vs.1.77±0.10,P<0.05)。结论相较于VATS,RATS患者术后疼痛更轻、止痛药物使用量少。
Objective To estimate postoperative pain and use of analgesic of patients who underwent video-assisted thoracoscopic surgery(VATS) or robotic assisted thoracoscopic surgery(RATS). Methods From October 2014 through August 2015,339 patients were treated by surgery in Shanghai Chest Hospital. Among them,116 patients with intrathoracic lesions who underwent RATS with the da Vinci® Surgical System were as a RATS group with 51 males and 65 females at age of 52.59±11.49 years. Another 223 patients by VATS were as a VATS group with 93 males and 130 females at age of 58.00±10.56 years. We recorded the data of the VAS score and use analgesic of the patients after surgery. Results There was a significant difference in VAS score between the RATS group and the VATS group(3.01±0.18 vs. 5.19±0.14,P<0.05).Astatistical difference of analgesic use between RATS and VATS was also found(1.09±0.12 vs. 1.77±0.10,P<0.05). Conclusion Compared with VATS,the postoperative pain of the patients who underwent RATS is lighter. And the use of analgesic is less.
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2015年第12期1095-1099,共5页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
