摘要
目的:分析肺癌胸腔镜肺叶切除术后使用不同药物镇痛效果。方法:选择2016年1月~2018年6月某院收治的肺癌患者64例,分为两组,每组32例,均接受单向式胸腔镜肺叶切除术。完成手术后,以PCIA为基础,A组使用帕瑞希布钠,B组使用地佐辛注射液完成镇痛,分析结果。结果:A组术后不良反应发生率明显比B组小,其中腹胀、呕吐以及恶心发生率差异显著,P<0.05;两组术后乏力、头晕发生率无明显差异,P>0.05;两组胃肠功能恢复时间无明显差异,P>0.05;静息情况A组受试者12h、24h、48h以及72h镇痛效果明显比B组好,P<0.05;和B组相比A组各时间段咳嗽镇痛效用明显比B组好,P<0.05。结论:手术后对患者使用帕瑞昔布钠联合PCIA进行镇痛治疗,能取得满意效果。
Objective:To analyze the analgesic effect of different drugs after thoracoscopic lobectomy of lung cancer.Methods:64cases of lung cancer patients admitted to a hospital from January 2016to June 2018 were selected as the research objects and divided into 2groups,32cases in each group.All patients underwent one-way thoracoscopic lobectomy.After the operation,on the basis of PCIA,group A was treated with parihib sodium and group B with dizocine injection for analgesia,and the results were analyzed.Results:The incidence of postoperative adverse reactions in group A was significantly lower than that in group B,with significant differences in the incidence of abdominal distension,vomiting and nausea(P<0.05).There was no significant difference in the incidence of postoperative fatigue and dizziness between the two groups(P>0.05).There was no significant difference in the recovery time of gastrointestinal function between the two groups,P>0.05.The analgesic effect of group A at 12h,24h,48hand 72hwas significantly better than that of group B(P<0.05).Compared with group B,group A had significantly better cough analgesic effect in each time period than group B,P<0.05.Conclusion:After the operation,the treatment of paracoxib sodium combined with PCIA for analgesia can achieve satisfactory result.
作者
张寅
Zhang Yin(Department of Thoracic Surgery,Changshu No.2 People's Hospital,Jiangsu Province,Changshu 215500)
出处
《数理医药学杂志》
2020年第1期118-119,共2页
Journal of Mathematical Medicine
