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硬膜外自控镇痛对胸部手术患者术后肺功能及炎性因子的影响
引用本文:吴熙文,林康,许建军. 硬膜外自控镇痛对胸部手术患者术后肺功能及炎性因子的影响[J]. 中国现代医生, 2013, 51(1): 56-57
作者姓名:吴熙文  林康  许建军
作者单位:吴熙文 (浙江省温岭市第一人民医院麻醉科,浙江温岭,317500); 林康 (浙江省温岭市第一人民医院麻醉科,浙江温岭,317500); 许建军 (浙江省温岭市第一人民医院麻醉科,浙江温岭,317500);
基金项目:浙江省温岭市科技计划项目(项目编号:2011WLCB0092)
摘    要:
目的探讨硬膜外自控镇痛对胸部手术患者术后肺功能及炎性因子的影响。方法将在我院进行胸部手术的患者40例随机分为实验组和对照组,各20例,实验组采用硬膜外自控镇痛,对照组采用静脉自控镇痛。观察并比较实验组与对照组术前和术后镇痛期间相关指标。结臬两组患者手术后RR都明显比术前快(P〈0.05),但Vc、Vt及SpO2都明显低于术前(P〈0.05),各个指标的组间差异均无统计学意义(P〉0.05)。结论胸部手术后硬膜外自控镇痛的效果明显好于静脉自控镇痛。

关 键 词:硬膜外自控镇痛  静脉自控镇痛  肺功能  炎性因子

The impact of controlled epidural analgesia to lung function and inflammatory factors of the thoracic surgery patients
WU Xiwen,LIN Kang,XU Jianjun. The impact of controlled epidural analgesia to lung function and inflammatory factors of the thoracic surgery patients[J]. , 2013, 51(1): 56-57
Authors:WU Xiwen  LIN Kang  XU Jianjun
Affiliation:Anesthesiology Department, the First People's Hospital of Wenling City in Zhejiang Province, Wenling 317500, China
Abstract:
Objective To explore the impact of patient-controlled epidural analgesia after thoracic surgery postoperative lung function and inflammatory factors. Methods Chest surgery patients in our hospital 40 cases were randomly divided into experimental group and control group (each of 20 cases), the experimental group, controlled epidural analgesia. Results RR are two groups of patients after surgery than before surgery faster (P 〈0.05), Vc,Vt and SpOz were significantly lower than preoperative (P 〈 0.05), but the differences between the various indicators of group were not statistically significant (P 〉 0.05). Conclusion Controlled epidural analgesia after thoracic surgery significantly better than intravenous analgesia.
Keywords:Controlled epidural analgesia  Intravenous analgesia  Lung function  Inflammatory factors
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