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开胸术后疼痛缓解的术中冷冻镇痛

Intraoperative cryoanalgesia for postthoracotomy pain relief.

作者信息

Müller L C, Salzer G M, Ransmayr G, Neiss A

机构信息

Department of Thoracic Surgery, Second University Surgical Clinic, Innsbruck University, Austria.

出版信息

Ann Thorac Surg. 1989 Jul;48(1):15-8. doi: 10.1016/0003-4975(89)90169-0.

Abstract

In a randomized study, 63 patients were investigated for the benefits of cryoanalgesia after thoracotomy. Analgesia and its dependent effects such as enhancement of mobility, respiratory function, and reduced need of narcotics were evaluated. No significant differences in these variables were observed between the cryoanalgesia group and the control group. However, moderate to severe neuralgia was found in a number of patients in the cryoanalgesia group in the late postoperative period. Cryoanalgesia for pain relief after thoracotomy is not recommended.

摘要

在一项随机研究中,对63例开胸术后患者进行了冷冻镇痛效果的调查。评估了镇痛及其相关效果,如活动能力增强、呼吸功能改善以及对麻醉剂需求的减少。冷冻镇痛组和对照组在这些变量上未观察到显著差异。然而,冷冻镇痛组的一些患者在术后晚期出现了中度至重度神经痛。不建议采用冷冻镇痛来缓解开胸术后的疼痛。

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