EFFECT OF INTERNAL MAMMARY HARVEST ON POSTOPERATIVE PAIN AND PULMONARY-FUNCTION

被引：64
|
作者：
COHEN, AJ
MOORE, P
JONES, C
MINER, TJ
CARTER, WR
ZURCHER, RP
LUPKAS, R
EDWARDS, FH
机构：
[1] WALTER REED ARMY MED CTR,DEPT SURG,WASHINGTON,DC 20307
[2] WALTER REED ARMY MED CTR,DEPT CARDIOVASC DIS,WASHINGTON,DC 20307
[3] WALTER REED ARMY MED CTR,DEPT ANESTHESIA,WASHINGTON,DC 20307
[4] UNIFORMED SERV UNIV HLTH SCI,DEPT SURG,BETHESDA,MD 20814
来源：
ANNALS OF THORACIC SURGERY | 1993年 / 56卷 / 05期
关键词：
D O I：
10.1016/0003-4975(95)90025-X
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Forty-three patients undergoing median sternotomy were evaluated for postoperative pain and pulmonary function. Group 1 (n = 26) had harvest of the internal mammary artery (IMA) and group 2 (n = 17) did not. Postoperative pain and pulmonary function were evaluated on the fifth postoperative day. Both groups showed a decrease in forced expiratory volume in 1 second (group 1, 44%; group 2, 39%), but there was no significant difference in the loss between the two groups (p = 0.32). Using a numeric rating scale, there was significant increase in postoperative pain in group 1 (group 1, 6.35; group 2, 3.82; p = 0.0002). There is a suggestion that internal mammary artery harvesting itself worsens postoperative pulmonary function tests, and this may be related to a significant increase in postoperative pain.
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页码：1107 / 1109
页数：3
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