国际医药卫生导报2011，Vol.17Issue(13)：1547-1549,3.DOI:10.3760/cma.j.issn.1007-1245.2011.13.004
肋间神经冷冻和硬膜外自控镇痛对胸外科术后急慢性疼感强度的影响
Effect of intercostal nerve cryoanalgesia versus patient-controlled epidural analgesia on acute and chronic post-thoracotomy pain
摘要
Abstract
Objective To explore the effect of a intercostal nerve cryoanalgesia versus patient-controlled epidural analgesia(PCEA)on acute and chronic post-thoracotomy pain. Methods 122 patients who underwent thoracic surgery during the period of January 2006 to May 2009 were randomly assigned to receive intercostal nerve cryoanalgesia(63 patients, group A)or patient-controlled epidural analgesia(59 patients, group B). The scores of postoperative pain were used to evaluate the efficacy of the two pain-control procedures. Results According to the Verbal Rating Scale, the scores were(1.19 ± 0.22)on day 1,(1.11 ± 0.21)on day 3,(0.76 ± 0.16)on month 3, and(0.47 ± 0.18)on month 6 in group A; while(1.80 ± 0.49),(1.57 ± 0.31),(0.46± 0.12), and(0.24 ± 0.12)in group B, respectively. There were significant differences in the scores of pain.(P＜ 0.05). Conclusions For relieving post-thoracotomy acute pain, intercostal nerve cryoanalgesia is superior to PCEA, and the latter procedure is superior to the former procedure for chronic pain. Intercostal nerve cryoanalgesia may increase the incidence of chronic pain.关键词
肋间神经冷冻/硬膜外自控镇痛/开胸手术/急性疼痛/慢性疼痛Key words
Intercostal nerve cryoanalgesia/Patient-controlled epidural analgesia/Thoracic surgery/Acute pain/Chronic pain引用本文复制引用
伍硕允,卢珠明,叶敏,林志潮,庞文广,黄文海,庞景灼..肋间神经冷冻和硬膜外自控镇痛对胸外科术后急慢性疼感强度的影响[J].国际医药卫生导报,2011,17(13):1547-1549,3.基金项目
江门市科技立项课题(江科 2007-7023) （江科 2007-7023）
