Comparison of effect between intercostal nerves ctyoanalgesia and patient controlled epidural analgesia on post-thoracotomy pain
10.3760/cma.j.issn.1673-4904.2010.03.004
- VernacularTitle:肋间神经冷冻和硬膜外自控镇痛在胸外科术后镇痛中的比较
- Author:
Shuoyun WU
;
Zhuming LU
;
Baijin LIANG
;
Min YE
;
Wenguang PANG
;
Wenhai HUANG
;
Jingzhuo PANG
- Publication Type:Journal Article
- Keywords:
Cryosurgery;
Intercostal nerves;
Analgesia,epidural;
Thoracic surgical procedures
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(3):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of postoperative intercostal nerves cryoanalgesia and patient controlled epidural analgesia (PCEA) in patients undergoing thoracic surgery. Methods From April 2006 to May 2008,89 patients undergoing thoracic surgery were randomly divided into intercostal nerves cryoanalgesia group (group A,47 cases) and PCEA group (group B,42 cases). The scores of pain, use of pain medication and time of out-of-bed activity after the operation were used to evaluate the effect of pain between two groups. Results The scores of pain in group A and group B were (1.49 ± 0.80) and (2.43 ± 1.21) scores respectively. There were significant differences in the scores of pain. The use of pain medication [(1.28 ± 0.62) times vs (2.02 ± 1.05) times]and time of out-of-bed activity after the operation [(43.15 ± 12.22) h vs (64.10 ± 14.25) hi were significant difference between the two groups(P< 0.05). Conclusions For reducing the post- thoracotomy pain,intercostal nerves cryoanalgesia is superior to PCEA. Intercostal nerves cryoanalgesia can provide satisfactory analgesia after thoracic surgery.
