Clinical study of protective technique for intercostal nerve in the application of esophageal cancer surgery
10.3760/cma.j.issn.1008-6315.2015.05.015
- VernacularTitle:改良肋间神经保护技术在食管癌手术中的应用观察
- Author:
Yi JIANG
;
Huaihua YE
;
Hong ZHAO
;
Hengyi ZHAO
;
Shouhua ZHAO
- Publication Type:Journal Article
- Keywords:
Thoracotomy;
Protective technique for intercostal nerve;
Esophageal cancer
- From:
Clinical Medicine of China
2015;31(5):429-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of protective technique for intercostal nerve in the application of esophageal cancer surgery.Methods Seventy cases of esophageal and cardia cancer patients with thoracic operation were randomly divided into observation group and control group,and each group was 35 cases.Patients in the observation group were treated with improved protective technique of intercostal nerve during operation,and patients in the control group using the traditional methods of operation for treatment.All patients were treated with intramuscular injection of morphine analgesia drugs after operation.Results The pain score of every time point analgesia patients in the observation group (VAS score) was significant difference from that in the control group (t =3.041,2.854,1.827,2.156,1.965,2.706,P＜ 0.05).The incidence of adverse reactions of analgesia,the incidence of painless patients of postoperative 30 d and 60 d,morphine dosage,chest tube indwelling time and the average hospitalization time in observation group were 0,42.86％,68.57％,(10.6±5.2) mg (4.0±1.6) d,(17.6±4.5) d,and the control group were 17.14％,20.0％,34.29％,(22.8±7.6) mg,(4.8±1.8) d,(20.4±5.8) d (x2=4.56,4.24,8.24,t=7.838,1.965,2.257,P＜0.05).Conclusion The improvement protective technique for intercostal nerve in esophageal cancer surgery,not only can reduce thoracotomy acute postoperative pain,but also reduce the happening of the CPP.Meanwhile,the analgesic effect is good.It is proved with a simple operation,less adverse reaction,conducive to disease recovery after esophageal cancer surgery,indicating that it has clinical popularization value.
