摘要
目的分析术中肋间神经阻滞(INB)在单操作孔胸腔镜肺楔形切除术中的临床应用。方法选取该院2016年10月至2019年11月进行单操作孔胸腔镜肺楔形切除手术的68例患者,随机分为试验组和对照组,每组34例。试验组为罗派卡因肋间神经阻滞联合静脉自控镇痛,对照组为术后静脉自控镇痛。比较两组术后疼痛评分、肺不张、胸腔引流管留置时间、呼吸功能状况。结果试验组患者术后疼痛评分、胸腔引流管留置时间、呼吸功能(氧合指数、动脉血二氧化碳分压)与对照组比较,差异均有统计学意义(P<0.05)。结论单操作孔胸腔镜肺楔形切除术中应用肋间神经阻滞联合静脉自控镇痛不仅止痛效果显著,且对术后早期呼吸功能影响较小,有利于患者康复。
Objective To analyze the clinical application of intercostal nerve block(INB)in video-assisted thoracoscopic(VATS)wedge-shaped lung resection with single utility port.Methods Sixty-eight patients undergoing VATS wedge-shaped lung resection with single utility port in this hospital from October 2016 to November 2019 were selected and randomly divided into the experiment group and control group,34 cases in each group.The experiment group adopted the ropivacaine INB combined with intravenous patient-controlled analgesia(PCIA)and the control group adopted the postoperative PCIA.The postoperative pain score,pulmonary atelectasis,indwelling time of thoracic drainage tube and respiratory function status were compared between the two groups.Results The postoperative pain score,indwelling time of thoracic drainage tube and respiratory function(oxygenation index,PaCO2)had statistical difference between the experiment group and control group(P<0.05).Conclusion Applying INB combined with PCIA in VATS wedge-shaped lung resection with single utility port not only has significant analgesic effect,but also has little influence on postoperative early respiratory function and is conducive to the rehabilitation of the patients.
作者
段李明
丁超
韦林
刘玉钢
谷振宁
DUAN Liming;DING Chao;WEI Lin;LIU Yugang;GU Zhenning(Department of Thoracic Surgery,Xi′an Municipal Chest Hospital,Xi′an,Shaanxi 710010,China)
出处
《重庆医学》
CAS
2020年第20期3445-3447,共3页
Chongqing medicine
关键词
单孔胸腔镜
肺楔形切除
肋间神经阻滞
静脉自控镇痛
single hole thoracoscope
pulmonary wedge resection
intercostal nerve block
intravenous patient-controlled analgesia
作者简介
通讯作者:段李明(1985-),主治医师,硕士,主要从事胸外科工作。E-mail:124933647@qq.com。
