开胸术后不同镇痛方法的比较
肋间神经,,开胸术；,肋间神经；,镇痛,临床资料,结果,讨论,参考文献：
摘要： 目的 比较开胸术后不同镇痛方法的效果。方法 随机从已用了止痛药物(Ⅰ组)、硬膜外自控镇痛(PCEA)(Ⅱ组)、肋间神经冷冻止痛(Ⅲ组) 3组病例中各抽取40例作对比研究，比较3组术后镇痛效果、术后并发症及所需辅助止痛方法。结果 Ⅲ组术后镇痛效果明显优于Ⅰ、Ⅱ2组(P<0.05)，而并发症较Ⅰ、Ⅱ 2组明显减少(P<0.05)。结论 肋间神经冷冻止痛是一种可靠的镇痛方法。关键词： 开胸术； 肋间神经； 镇痛
Comparison of the therapeutic effect of analgesic methods after thoracotomy
ZHANG Yongheng，YANG Xuquan，JIANG Pengfei
(Department of Thoracic Surgery,Suining People's Hospital of Sichuan Province,Suining 629000，China)
Abstract： Objective To compare the effect of different analgesic methods after thoracotomy. Methods One hundred and twenty cases who received different analgesic methods after thoracotomy were randomly divided into groupⅠ(using analgesic),groupⅡ(administered through epidural catheter) and groupⅢ(freezing of intercostal nerves). The effect,postoperative complication and analgesic methods were compared among the three groups. Results The effect in groupⅢ was obviously superior to groupⅠ and groupⅡ(P<0.05),and the complication was decreased as compared to groupⅠ and groupⅡ(P<0.05). Conclusion Freezing intercostal nerves is an effective and reliable way to prevent intense chest pain after thoracotomy. ......
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