持续肋间神经阻滞对剖胸术后镇痛效果观察

EFFICACY OF CONTINUOUS INTERCOSTAL NERVE BLOCK ON POST-THORACOTOMY PAIN

摘要:

目的:评价持续肋间神经阻滞对于剖胸术后的镇痛效果。方法:40例剖胸手术病人随机分为两组,术后分别施行持续肋间神经阻滞镇痛(n=20)与病人自控镇痛(n=20),按Prince-Henry评分法,对术后3天内不同时段疼痛程度进行定量评估,并对两组病人术后因镇痛所致并发症进行比较。结果:两组病人术后自觉疼痛减轻,持续肋间神经阻滞组术后平均疼痛评分(2.15±0.31)低于病人自控镇痛组(2.94±0.45,P<0.05),而镇痛副反应更少。结论:持续肋间神经阻滞操作简易直观,镇痛效果相对明显,更有助于术后呼吸功能恢复,减少术后并发症。

Abstract:

Objective:To evaluate the efficacy of continuous intercostal nerve block (CINB) and patient-controlled analgesia (PCA) in controlling post-thoracotomy pain. Methods; Fourty patients underwent u-nilateral thoracotomy were randomly divided into two groups, received either CINB (n =20) or PCA (n = 20 ) . Postoperative pain was assessed for 72 hours according to Prince-Henry analogue scale, and the comparison of postoperative complications of the two groups was demonstrated. Results; Subjective pain was reduced in both groups, with the CINB group showing a lower pain score ( P <0.05) and less analgesia-related postoperative complications. Conclusion; CINB may provide a safe and effective analgesia for post-thoracotomy pain, with a better restoration of pulmonary mechanics.