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浙江大学学报（医学版）
浙江大学学报（医学版）  2013, Vol. 42 Issue (2): 232-236    DOI: 10.3785/j.issn.1008-9292.2013.02.016
综述     
儿童漏斗胸Nuss术后镇痛的研究进展
周晨1，金海燕1，李建华2，胡智勇1
浙江大学医学院附属儿童医院1.麻醉科、2.心胸外科，浙江 杭州 310003
Research progress on postoperative analgesia for pectus excavatum in pediatric patients after Nuss procedure
ZHOU Chen1, JIN Hai-Yan1, LI Jian-Hua,2 HU Zhi-Yong1
1.Department of Anesthesiology，2.Department of Cardiothoracic Surgery，The AffiliatedChildren′s Hospital，Zhejiang University School of Medicine，Hangzhou 310003，China
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摘要：

漏斗胸是儿童中最常见的先天性胸壁畸形，而Nuss术是目前最先进的矫形术式。其优点是避免了过去Ravitch术带来的巨大创伤，但所造成的术后疼痛的严重程度却不亚于开胸术。因此，合理有效的术后镇痛就显得十分重要。文中就影响儿童漏斗胸Nuss术后疼痛的因素、镇痛方式和相关并发症，以及药物不良反应的研究进展予以综述。
关键词： 漏斗胸/外科学;  疼痛;  手术后/预防和控制;  镇痛/方法;  Nuss术;  不良反应;  多模式镇痛    
Abstract:

Pectus excavatum is the common congenital chest wall deformity in children，and Nuss procedure is the conventional surgical treatment for this disease.Nuss procedure is superior to Ravitch correction for it is less harmful in terms of the surgical technique.However，Nuss procedure is associated with severe postoperative pain，thus adequate postoperative analgesia is important.In this review，factors that influence the postoperative pain after Nuss procedure，the pain managements，the related complications and the side effects of drugs are discussed.
Key words: Funnel chest/surgery    Pain,postoperative/prevention &    control    Analgesias/methods    Nuss procedure    adverse effect    multimode analgesia
收稿日期: 2012-02-16 出版日期: 2013-03-25
:  R 614  
基金资助:

浙江省教育厅科研项目（Y201017446）.
通讯作者: 胡智勇（1964-），男，硕士，主任医师，硕士生导师，主要研究领域：吸入麻醉药对脑、心脏等重要脏器的保护作用及循环呼吸功能的监测；     E-mail: huzynet@yahoo.com
作者简介: 周晨（1985-），男，硕士，住院医师，从事小儿麻醉与疼痛治疗工作.
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引用本文:

周晨, 金海燕, 李建华, 胡智勇. 儿童漏斗胸Nuss术后镇痛的研究进展[J]. 浙江大学学报（医学版）, 2013, 42(2): 232-236.

ZHOU Chen, JIN Hai-Yan, LI Jian-Hua, HU Zhi-Yong. Research progress on postoperative analgesia for pectus excavatum in pediatric patients after Nuss procedure. Journal of ZheJiang University(Medical Science), 2013, 42(2): 232-236.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2013.02.016    或    http://www.zjujournals.com/med/CN/Y2013/V42/I2/232

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