论文部分内容阅读
目的探讨精准肋间神经冷冻止痛在胸腔镜纵隔肿瘤切除术中的效果。方法选取2011年1月至2014年1月间行胸腔镜纵隔肿瘤切除术患者60例,随机分为试验组和对照组,每组30例。试验组患者术中施行精准解剖肋间神经分支冷冻止痛,对照组患者施行术后自控静脉镇痛(PCIA)。术后观察记录镇痛药物用量、疼痛评分(VAS)及术后并发症的发生情况。结果试验组患者术后镇痛药物用量、疼痛评分及并发症发生率均明显低于对照组,差异有统计学意义(P<0.01)。结论精准肋间神经冷冻止痛能有效缓解患者术后疼痛,并且能够减少术后并发症的发生,是一种安全有效的止痛方法。
Objective To investigate the effect of precise intercostal nerve cryotherapy on thoracoscopic mediastinal tumor resection. Methods Sixty patients underwent thoracoscopic mediastinum tumor resection between January 2011 and January 2014 were randomly divided into experimental group and control group, with 30 cases in each group. Patients in the test group were given intraoperative frozen anatomical intercostal nerve pain relief, and patients in the control group underwent postoperative controlled intravenous analgesia (PCIA). Postoperative observation recorded the amount of analgesic drugs, pain scores (VAS) and postoperative complications. Results The postoperative analgesic dosage, pain score and complication rate in the experimental group were significantly lower than those in the control group (P <0.01). Conclusion Accurate intercostal nerve cryogenic analgesia can effectively relieve postoperative pain in patients and reduce postoperative complications. It is a safe and effective analgesic method.