肿瘤预防与治疗2017，Vol.30Issue(4)：285-290,6.DOI:10.3969/j.issn.1674-0904.2017.04.009
罗哌卡因切口持续灌注用于开胸术后镇痛的疗效及安全性分析
The Analgesia Efficacy and Safety of Ropivacaine Continuous Infusion at Incision Site after Lobectomia Pulmonalis
摘要
Abstract
Objective:To compare the effect of surgical incision site pain relief system and patient controlled intravenous analgesia (PCIA) on the pain management and recovery of lung cancer patients who accepted the open lobectomia pulmonalis.Methods:Sixty patients undergoing elective open lobectomia pulmonalis were randomly divided into incision site pain relief system group and PCIA group with 30 patients in each group.The inspiratory capacity,pain score evaluated by visual analogue scale in the resting and dynamic state,and the recovery process of patients after operation were recorded.Results:There were no statistical differences in the maximum inspiratory capacity between these two groups (P ＞ 0.05).The pain score of incision site pain relief system group at dynamic state was significantly lower than that of PCIA group (P ＜ 0.05) at the time point of 12h,24h and 36h after operation.The time of anal exhaust in incision site pain relief system group was also earlier than that of PCIA group (P ＜ 0.05).The incidence of side effect such as dizziness and headache in incision site pain relief system group was lower than that in PCIA group(P =0.024).Conclusion:Both the incision site pain relief system group and PCIA group provide excellent analgesia efficacy after lobectomia pulmonalis.The incision local continuous analgesia is safe and effective with lower incidence of postoperative complications,which is beneficial for the recovery of patients.关键词
术后镇痛/切口局部镇痛/静脉自控镇痛/肺叶切除术Key words
Postoperative analgesia/Surgical incision site pain relief system/PCIA/Lobectomia pulmonalis分类
医药卫生引用本文复制引用
张兆晖,向润,何金涛,谢天鹏,杨晓军,李强..罗哌卡因切口持续灌注用于开胸术后镇痛的疗效及安全性分析[J].肿瘤预防与治疗,2017,30(4):285-290,6.基金项目
四川省科技厅科技支撑计划项目(编号:2011FZ0112) （编号:2011FZ0112）
