Clinical study of pain control with continuous intercostal nerve block after thoracotomy
- VernacularTitle:开胸术后持续肋间神经阻滞镇痛效果的临床研究
- Author:
Zheng LIU
1
;
Hong ZHU
1
;
Jie REN
1
;
Wen LIU
1
;
Yangang YANG
1
;
Lin ZHANG
1
;
Wei YANG
1
;
Yonghong ZHANG
2
;
Jiwen LUO
1
Author Information
1. Department of Cardiothoracic Surgery, Mianyang Central Hospital, Mianyang, 621000, Sichuan, P.R.China
2. Department of Anesthesiology, Mianyang Central Hospital, Mianyang, 621000, Sichuan, P.R.China
- Publication Type:Journal Article
- Keywords:
Continuous intercostal nerve block;
thoracotomy;
multimodal analgesia;
treatment
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(07):784-788
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the effectiveness of continuous intercostal nerve block for pain relief after thoracotomy. Methods From November 2017 to October 2018, 120 patients who received thoracotomy procedure in our hospital were collected, including 60 males and 60 females aged 40-77 (58.10±7.00) years. The patients were randomly allocated into three groups by digital table including a continuous intercostal nerve block group (group A, n=40), a single intercostal nerve block group (group B, n=40), and an epidural analgesia group (group C, n=40). All the groups received the same basic analgesia. The pain scores and rescue analgesic doses were compared. Results On postoperative day (POD) 0, all groups achieved effective pain control, and the visual analogue score was 2.02±0.39 points in the group A, 2.13±0.75 points in the group B and 2.03±0.69 points in the group C (P>0.05). On POD 0-2 and POD 3-4 (without basement analgesia), there was no significant difference between the group A and group C in the pain scores (2.08±0.28 points vs. 1.93±0.53 points, 3.20±0.53 points vs. 3.46±0.47 points, P>0.05), however, the difference between POD 0-2 and POD 3-4 in each group was stastically different (group A, 2.08±0.28 points vs. 3.20±0.53 points; group B, 2.42±0.73 points vs. 5.45±0.99 points; group C 1.93±0.53 points vs. 3.46±0.47 points, P<0.05). In terms of the rescue analgesic doses, there was no significant difference between the group A and group C (220.00±64.08 mg vs. 225.38±78.85 mg, P>0.05); it was larger in the group B than that in the group A and group C (343.33±119.56 mg vs. 220.00±64.08 mg; 343.33±119.56 mg vs. 225.38±78.85 mg, P<0.05). Conclusion Multimodal analgesia is an optimal choice in the initial stage after thoracotomy surgery. Continuous intercostal nerve block is an effective way to pain management in patients with thoracotomy.
