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| 肋间神经保护技术在开胸手术中的应用 | |
| 引用本文： | 杨洪顶,王军,张承. 肋间神经保护技术在开胸手术中的应用[J]. 中华全科医师杂志, 2013, 12(3): 214-215 |
| 作者姓名： | 杨洪顶 王军 张承 |
| 作者单位： | 杨洪顶 (滨州医学院烟台附属医院心胸外科,山东省烟台,264100)；王军 (滨州医学院烟台附属医院心胸外科,山东省烟台,264100)；张承 (滨州医学院烟台附属医院心胸外科,山东省烟台,264100)； |
| 摘 要： | 回顾分析80例分别采用保护肋间神经和常规开胸手术患者的临床资料。两组术后吗啡镇痛用量分别为（12±5）和（43±11）mg／例，疼痛评分术后24、48和72h分别为（2．7±1．6）与（6．2±1．9）分、（2．5±1．4）与（5．8±1．8）分和（2．3±1．3）与（5．4±1．7）分，疼痛评分及肺炎、肺小张、切口感觉异常等发生情况比较，差异均有统计学意义（均P〈0．01）。提示肋间神经保护技术能减轻患者术后疼痛、减少镇痛药用量，减少术后并发症的发生。 |
| 关 键 词： | 肋间神经 开胸术 |
Application of protective technique for intercostal nerve in thoracotomy |
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| YANG Hong-ding,WANG dun,ZHANG Cheng. Application of protective technique for intercostal nerve in thoracotomy[J]. Chinese JOurnal of General Practitioners, 2013, 12(3): 214-215 | |
| Authors: | YANG Hong-ding WANG dun ZHANG Cheng |
| Affiliation: | ( Department of Thoracic Surgery, Yantai Hospital Affiliated to Binzhou Medical University, Yantai 264100, Shandong , China) |
| Abstract: | To retrospective analyze the clinical profiles of 80 patients undergoing thoracotomy with protection of intereostal nerve versus traditional method. The doses of narcotics of two groups were （ 12 ± 5 ） and （43± 11 ）mg respectively. The postoperative levels of visual analogue score （VAS） and such potential complications as pneumonia, ateleetasis and paraesthesia were examined （ P 〈 0. 01 ）. Protective technique of intercostal nerve during thoracotomy could effectively relieve postoperative chest pain, reduce the dosage of narcotics and lower the occurrence of lung complications. |
| Keywords: | Intercostal nerves Thoracotomy |
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