The efficacy of thoracic paravertebral block and patient-controlled intravenous analgesia on quality of ;life for patients after thoractomy
ZHANG Miao
PAN Xuefeng
LI Min
DU Min
HU Zhengqun
Abstract：Objective To evaluate the efficacy of thoracic paravertebral block ( TPVB) and patient-con-trolled intravenous analgesia ( PCIA) on health-associated quality of life and psychological status for patients af-ter thoractomy, and to explore the measure for reducing morbidity of chronic post-surgical pain ( CPSP) . Meth-ods A retrospecitve analysis was performed on 192 patients who underwent thoractomy from January 2011 to December 2013, and they were enrolled as TPVB and PCIA group respectively. Besides, they were followed up for more than 1 year to explore the morbidity of CPSP, furthermore, they completed the self-report questionnaire of 36-item Short Form Health Survey (SF-36) for evaluation of life quality. Results The ratio of CPSP patients in TPVB group was significantly lower than that of PCIA group (P<0. 05). However, there were no significant difference with regard to scores of SF-36 between the groups(P>0. 05). In addition, the overall satisfaction rate of patents in TPVB group is better than that of PCIA group. Conclusions The combination of both TPVB and postoperative PCIA is a more reasonable analgesic procedure to improve the quality of life for patients who underwent thoractomy.
Keywords：thoractomythoracic paravertebral block ( TPVB)patient-controlled intravenous analge-sia ( PCIA)chronic post-surgical pain ( CPSP)quality of life
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 217-219 )