After lobectomy Comparison of two methods of analgesia.docVIP

 PAGE \* MERGEFORMAT 10 After lobectomy Comparison of two methods of analgesia [Abstract] Objective: To study the thoracotomy lobectomy in patients with thoracic epidural analgesia and intravenous analgesia and postoperative pulmonary complications. Methods: 80 patients ASA I ~ grade, thoracotomy lobectomy patients were randomly divided into two groups, A group method for inhalation anesthesia anesthesia and postoperative IV fentanyl patient-controlled analgesia (PCIA), B group before induction of anesthesia T5-6 clearance epidural catheter, 2% Lido 3 ml test dose of lidocaine, ropivacaine and fentanyl after epidural analgesia (PEA). All the patients were recorded endotracheal tube and chest tube removal time, 4,24,48 h resting after surgery and sports pain score, sedation score. observed postoperative pulmonary complications (infection, atelectasis) rate. Results: B time of tracheal extubation in patients (0.7 +-0.2h earlier than A group (2.1 + - 0.4) h, P lt;0.01, chest tube removal time (2.7 +-0.6d significantly earlier than A group (4.3 +-0.7d, P lt;0.05.B group at each time point after exercise at rest and pain scores were small in the A group (P lt;0.05), while the sedation score was no difference. Postoperative pulmonary complication rate of group B 7.5% lower than the A group 17.5%, P lt;0.05, in particular, the incidence of postoperative pulmonary infection in two group were significantly different (2.5% and 12.5%, P lt;0.01. Conclusion: The thoracic epidural analgesia lobectomy is better than intravenous analgesia and reduce postoperative pulmonary complications. [Keywords:] lung resection, thoracic epidural analgesia, pulmonary complications [Abstract] Objective: To investigate analgesia effects and pulmonary complication incidence induced by two analgesia methods.Methods: In this study 80 patients scheduled for elective lobectomy were randomized to either PCIA fentanyl (Group A, n = 40) or thoracic epidural analgesia with ropivacaine and f