Bunting P, McGeachie J F
Oldham Royal Infirmary.
Br J Anaesth. 1988 Aug;61(2):169-72. doi: 10.1093/bja/61.2.169.
Intercostal nerve blockade of the 10th, 11th and 12th thoracic nerves on the right side was compared with i.m. papaveretum as analgesia after appendicectomy. Patients with intercostal nerve blockade had significantly less pain at 0, 4, 8 and 12 h after operation and required less papaveretum (mean 0.26 mg kg-1/24 h) compared with the controls (mean 0.62 mg kg-1/24 h). There were no complications in either group. Intercostal nerve blockade may provide better quality analgesia following appendicectomy than i.m. papaveretum alone.
将右侧第10、11和12胸神经的肋间神经阻滞与肌肉注射罂粟碱用于阑尾切除术后镇痛进行比较。与对照组(平均0.62mg/kg/24h)相比,接受肋间神经阻滞的患者在术后0、4、8和12小时疼痛明显减轻,所需罂粟碱也更少(平均0.26mg/kg/24h)。两组均无并发症。肋间神经阻滞可能比单纯肌肉注射罂粟碱能为阑尾切除术后提供质量更好的镇痛效果。