| 开胸术后肋间神经冷冻与静脉镇痛的疗效比较 |
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| 引用本文： | 李永华,袁红斌,宋哲明,徐海涛,石学银. 开胸术后肋间神经冷冻与静脉镇痛的疗效比较[J]. 临床军医杂志, 2008, 36(4) |
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| 作者姓名： | 李永华 袁红斌 宋哲明 徐海涛 石学银 |
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| 作者单位： | 上海长征医院,麻醉科,上海,200003;上海长征医院,麻醉科,上海,200003;上海长征医院,麻醉科,上海,200003;上海长征医院,麻醉科,上海,200003;上海长征医院,麻醉科,上海,200003 |
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| 摘 要： | 目的比较肋间神经冷冻与静脉自控镇痛治疗开胸术后疼痛的效果及副作用。方法选择80例接受开胸手术的病人,随机分为静脉镇痛组(I组)和神经冷冻组(II组),静脉镇痛组行术后病人自控静脉镇痛(PCIA),后者采用北京库蓝公司JT-1型冷冻治疗仪在关胸前对切口所在肋间及上、下各一肋间和放置胸引瓶所在肋间的肋间神经进行冷冻,以VAS评分判断两组术后胸部切口疼痛情况,并记录不良反应。结果冷冻组术后72h内VAS评分(P<0.001)、不良反应发生率(P<0.05)与对照组比较差异显著,有统计学意义。结论肋间神经冷冻减轻开胸术后切口疼痛的效果明显优于PCIA,且并发症更少。
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| 关 键 词： | 开胸手术 切口疼痛 肋间神经冷冻 病人自控镇痛 |
Comparison of Effect between Intercostal Nerves Cryoanalgesia and Patient-controlled Analgesia on Post-thoracotomy Pain |
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| Li Yong-hua,Yuan Hong-bin,Song Zhe-ming,Xu Hai-tao,Shi Xue-yin. Comparison of Effect between Intercostal Nerves Cryoanalgesia and Patient-controlled Analgesia on Post-thoracotomy Pain[J]. Clinical Journal of Medical Officer, 2008, 36(4) |
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| Authors: | Li Yong-hua Yuan Hong-bin Song Zhe-ming Xu Hai-tao Shi Xue-yin |
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| Affiliation: | Li Yong-hua,Yuan Hong-bin,Song Zhe-ming,Xu Hai-tao,Shi Xue-yin (Department of Anesthesiology,Changzheng Hospital of Second Military Medical University,Shanghai 200003,China) |
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| Abstract: | Objective To compare the effect of postoperative intercostal nerve freezing and patient-controlled analgesia in patients undergoing thoracic surgery. Methods A total of 80 patients undergoing lung resection or lobectomy under general anesthesia were randomly divided into patient-controlled intravenous analgesia (PCIA) group (Group I) and intercostal nerves cryoanalgesia group (Group II). In Group I, catheter was placed into central vein. PCIA solution contained 0.025% morphine. PCIA was commenced with a loa... |
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| Keywords: | thoracic surgery incision pain intercostal nerve cryoanalgesia patient-controlled analgesia |
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