摘要
目的探索超声引导下单次椎旁神经阻滞联合全身麻醉在胸腔镜手术中的麻醉和镇痛效果。方法2019年1月至2020年12月广汉市人民医院收治的胸腔镜手术患者60例,采用随机数字表法分为两组各30例。观察组患者进行超声引导下单次椎旁神经阻滞联合全身麻醉,对照组患者进行常规全身麻醉。比较两组术后2、6、12及24 h活动状态和静息状态下的视觉模拟评分(VAS)、舒芬太尼用量、镇痛泵使用次数及麻醉满意度等临床指标。结果观察组术后镇痛满意度显著高于对照组,舒芬太尼用量、镇痛泵使用次数均显著少于对照组(P<0.05);两组术后2、6、12 h静息状态的VAS评分比较,差异均有统计学意义(P<0.05)。结论超声引导椎旁单次神经阻滞联合全身麻醉在胸腔镜手术中的镇痛效果满意,能够减少患者术中和术后镇痛药物的使用。
Objective To explore the anesthesia and analgesic effects of ultrasound-guided single paravertebral nerve block combined with general anesthesia during thoracoscopic surgery.Methods Sixty patients undergoing thoracoscopic surgery in our hospital from January 2019 to December 2020 were selected.The patients were divided into a control group and an observation group by using random number table method,30 in each group.The control group received conventional general anesthesia,and the observation group received ultrasound-guided single paravertebral nerve block combined with general anesthesia.The visual analog scale(VAS)scores at 2,6,12 and 24 hours after operation were compared between the two groups.The clinical indexes such as sufentanil dosage,number of analgesic pump use and anesthesia satisfaction were recorded.Results The satisfaction of postoperative analgesia in the observation group was significantly higher than that in the control group.The dosage of sufentanil and the frequency of analgesic pump in the observation group were significantly lower than those in the control group.The VAS scores of the observation group at 2,6 and 12 hours after surgery were significantly different from those of the control group(P<0.05).Conclusion The analgesic effect of ultrasound-guided single paravertebral nerve block combined with general anesthesia in thoracoscopic surgery is satisfactory.It can reduce the use of analgesics during and after surgery.
作者
徐昌兵
徐茜
周媛媛
秦祖容
XU Chang-bing;XU Qian;ZHOU Yuan-yuan;QIN Zu-rong(Department of Anesthesiology, Guanghan People′s Hospital, Guanghan 618300, China)
出处
《实用医院临床杂志》
2022年第3期82-84,共3页
Practical Journal of Clinical Medicine
基金
广汉市重点科学技术研究项目(编号GH2019SF03)。
关键词
超声引导
单次椎旁神经阻滞
胸腔镜手术
镇痛
Ultrasound-guided
Single paravertebral nerve block
Thoracoscopic surgery
Analgesia
