肋间神经阻滞在胸科手术术后镇痛中疗效的观察

肋间神经阻滞在胸科手术术后镇痛中疗效的观察

肖向群

【期刊名称】《中国实用医刊》 【年(卷),期】2016(043)007

【摘要】Objective To observe the clinical effect of intercostal nerve block on postoperative analgesia in thorac-ic operation. Methods Sixty patients with thoracic surgery were randomly selected as the research objects,the patients were divided into control group and observation group. SBP,MAP,DBP,HR,respiratory frequency,press the number of PCA and analgesic medicinal dose 1,4,8,24,48 hours after the operation were observed. Results After operation,the SBP,MAP,DBP,HR,respiratory frequency,press the number of analgesia pump and dose were lower in the observation group than that in the control group,there were significant differences(P < 0. 05). Conclusions Intercostal nerve block can

significantly

improve

postoperative

pain

after

thoracic

surgery,reduce the pain of the influence of the respiratory cycle and the dose of analgesic drugs.%目的：观察肋间神经阻滞在胸科手术后镇痛中的临床效果。方法随机选取胸科手术患者60例作为研究对象，将患者分成对照组和观察组，观察术后1、4、8、24、48 h SBP、MAP、DBP、HR、呼吸频率、PCA 的按压次数及镇痛药用药量。结果观察组术后的 SBP、MAP、DBP、HR、呼吸频率、镇痛泵的按压次数及用药量均低于对照组，两组差异有统计学意义（P <0.05）。结论肋间神经阻滞在胸科手术后能明显改善术后疼痛，降低疼痛