摘要
目的回顾胸腔镜肺叶切除术后程序化间歇单次输注连续胸椎旁阻滞的镇痛效果。方法回顾性分析2015年1月~2016年12月期间单侧胸腔镜肺叶切除术后程序化间歇单次输注连续胸椎旁阻滞组(PVB组)24例及同期吗啡自控静脉镇痛组(PCIA组)31例的临床病例资料及镇痛效果。结果 (1)术后48 h PVB组咳嗽时疼痛NRS评分明显低于PCIA组(P<0.05)。(2)术后PVB组恶心呕吐发生率低于PCIA组(P<0.05)。(3)患者镇痛满意度PVB组明显高于PCIA组(P<0.05)。结论程序化间歇单次输注在连续胸椎旁阻滞镇痛模式对胸科手术后的镇痛效果确切,患者满意度高,有一定的临床价值。
Objective To review the analgesic effect of intermittent single infusion of. thoracic paravertebral analgesia after thoracoscopic lobectomy. Methods The clinical data and analgesic effect of 24 patients in intermittent single infusion of continuous thoracic paravertebral analgesia after thoracoscopic lobectomy（PVB group） and 31 patients in simultaneous morphine self-controlled intravenous analgesia group（PCIA group） from January 2015 to December 2016 were retrospectively analyzed. Results （1）The NRS score of the pain in the PVB group was significantly lower than that in the PCIA group at 48 hours after surgery（P〈O.05）. （2）The incidence of nausea and vomiting in PVB group was lower than that in PCIA group（P〈0.05）. （3）The analgesic satisfaction rate of patients in PVB group was significantly higher than that of PCIA group（P〈0.05）. Conclusion The analgesic effect of intermittent single infusion of the thoracic paravertebral analgesia after thoracic surgery is accurate, with high satisfaction rate of patients, and has certain clinical value.
出处
《中国现代医生》
2017年第27期117-120,共4页
China Modern Doctor
基金
浙江省科技计划项目(2012C24018)
浙江省温州市科技局科研基金资助项目(Y20150244)
关键词
程序化间歇单次输注镇痛模式
连续胸椎旁镇痛
自控静脉镇痛
胸腔镜肺叶切除术
Programmed intermittent single infusion analgesia
Continuous thoracic paravertebral analgesia
Self-con- trolled intravenous analgesia
Thoracoscopic lobectomy
